Individual provider · Type 1 NPI

Jacob Ezra Segura, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1235926874 Active

Practice location

4455 S 700 E Ste 300
Salt Lake City, UT 84107-3076

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	9435837-3501 (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 1235926874

Jacob Ezra Segura, LCSW's National Provider Identifier is 1235926874, issued on Apr 24, 2025. 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 Apr 24, 2025.