Organization · Type 2 NPI

Lakeside Counseling

Clinical Social Worker · Taylorsville, UT

NPI number 1245636430 Active

Practice location

2860 W 4700 S # G2
Taylorsville, UT 84129-2157

Mailing address

3311 S 4985 W
West Valley City, UT 84120-1700

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X351724-3501 (UT)
Community/Behavioral Health Agency 251S00000XNone listed

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 1245636430

Lakeside Counseling's National Provider Identifier is 1245636430, issued on Nov 14, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taylorsville, UT. The record was last updated on Aug 26, 2025.