Individual provider · Type 1 NPI

Kirt Don Wise, LCSW

Clinical Social Worker · Clearfield, UT

NPI number 1215182795 Active

Practice location

387 E 450 S
Clearfield, UT 84015-1734

Call (801) 635-5022 Map

Fax (801) 773-9152

Mailing address

501 W 2600 S, Ste 200
Bountiful, UT 84010-7784

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5666130-3501 (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 1215182795

Kirt Don Wise, LCSW's National Provider Identifier is 1215182795, issued on Nov 25, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clearfield, UT. The record was last updated on Apr 22, 2016.