Individual provider · Type 1 NPI

Kevin Theriot, PhD

Clinical Social Worker · Salt Lake City, UT

NPI number 1235229741 Active

Practice location

132 S State St
Salt Lake City, UT 84111-1506

Call (801) 240-2429 Map

Mailing address

9433 Sunset Ridge Dr
Sandy, UT 84092-2505

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW -0065 (AZ)

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 1235229741

Kevin Theriot, PhD's National Provider Identifier is 1235229741, issued on Oct 13, 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 Feb 18, 2011.