Individual provider · Type 1 NPI

George Alfred Leboeuf Iii, LCSW, LMT

Clinical Social Worker · Sandy, UT

NPI number 1194560615 Active

Practice location

57 W 9000 S Ste 104
Sandy, UT 84070-2008

Mailing address

57 W 9000 S # 104
Sandy, UT 84070-2008

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XSWB-2025-1293 (NM)
Clinical Social Worker 1041C0700X16063 (CT)
Clinical Social Worker Primary 1041C0700X13946847-3501 (UT)
Massage Therapist 225700000X13946847-4701 (UT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194560615

George Alfred Leboeuf Iii, LCSW, LMT's National Provider Identifier is 1194560615, issued on Jun 26, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sandy, UT. The record was last updated on Apr 13, 2026.