Individual provider · Type 1 NPI

Teresa Willard, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1194794693 Active

Practice location

50 N Medical Dr
Salt Lake City, UT 84132-0001

Call (801) 585-2717 Map

Fax (801) 585-2818

Mailing address

7932 Cedar Way
Park City, UT 84098-5177

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X122176-3501 (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 1194794693

Teresa Willard, LCSW's National Provider Identifier is 1194794693, issued on Mar 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 13, 2026.