Individual provider · Type 1 NPI
Tanner Moffat
Clinical Social Worker · Provo, UT
Practice location
3210 N Canyon Rd Ste 204
Provo, UT 84604-5608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 14006549-3502 (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…
3 other providers at this address
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About NPI 1205672227
Tanner Moffat's National Provider Identifier is 1205672227, issued on Jul 9, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Jun 4, 2026.