Individual provider · Type 1 NPI

Phyllis Speciale, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1336124387 Active

Practice location

1141 E 3900 S, A-170
Salt Lake City, UT 84124-1215

Call (801) 270-6538 Map

Fax (801) 284-4991

Mailing address

2640 Chadwick St
Salt Lake City, UT 84106-3506

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1235423501 (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 1336124387

Phyllis Speciale, LCSW's National Provider Identifier is 1336124387, issued on Dec 13, 2005. 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 Apr 9, 2012.