Individual provider · Type 1 NPI
Reynie Thomas Sandoval, LCSW
Clinical Social Worker · Provo, UT
Practice location
853 N 1200 E
Provo, UT 84604-3526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 4976881-3501 (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 1295041614
Reynie Thomas Sandoval, LCSW's National Provider Identifier is 1295041614, issued on Aug 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Jun 24, 2026.