Individual provider · Type 1 NPI
Kyle Hansen Goudie, LCSW
Clinical Social Worker · Draper, UT
Practice location
11451 S 700 E, Suite E
Draper, UT 84020-8204
Fax (801) 330-6324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6370645-3501 (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 1295857266
Kyle Hansen Goudie, LCSW's National Provider Identifier is 1295857266, issued on Apr 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Draper, UT. The record was last updated on Jul 14, 2009.