Individual provider · Type 1 NPI

Christina Ellwanger, LCSW

Clinical Social Worker · Bountiful, UT

NPI number 1245977602 Active

Practice location

1325 N Main St
Bountiful, UT 84010-6089

Call (801) 895-2575 Map

Mailing address

4503 W Ripple Dr
West Jordan, UT 84088-2328

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X105665263501-3501 (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 1245977602

Christina Ellwanger, LCSW's National Provider Identifier is 1245977602, issued on May 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bountiful, UT. The record was last updated on May 17, 2022.