Individual provider · Type 1 NPI

Jessie Liwanu Welch-Stockton, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1235980053 Active

Practice location

555 Foothill Dr
Salt Lake City, UT 84112-1106

Call (801) 585-1663 Map

Mailing address

7621 S Maple St
Midvale, UT 84047-7392

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10941331-3501 (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 1235980053

Jessie Liwanu Welch-Stockton, LCSW's National Provider Identifier is 1235980053, issued on Mar 29, 2024. 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 Mar 5, 2025.