Individual provider · Type 1 NPI

Jaqueline Pack, LCSW

Clinical Social Worker · Farmington, UT

NPI number 1235289380 Active

Practice location

1466 N Highway 89 Ste 220
Farmington, UT 84025-2738

Call (801) 451-0475 Map

Mailing address

273 N 2975 W
Layton, UT 84041-8835

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	3158913501 (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 1235289380

Jaqueline Pack, LCSW's National Provider Identifier is 1235289380, issued on Jan 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmington, UT. The record was last updated on Jul 8, 2007.