Individual provider · Type 1 NPI

Corinne Gentry

Clinical Social Worker · Bountiful, UT

NPI number 1336723550 Active

Practice location

415 Medical Dr Ste D101
Bountiful, UT 84010-8905

Call (801) 683-1062 Map

Mailing address

170 E 1350 N
Bountiful, UT 84010-4577

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Clinical Social Worker Primary 1041C0700X12877297-3502 (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 1336723550

Corinne Gentry's National Provider Identifier is 1336723550, issued on May 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bountiful, UT. The record was last updated on Jun 23, 2025.