Individual provider · Type 1 NPI

Mandy Donavan, LCSW

Clinical Social Worker · Logan, UT

NPI number 1356838486 Active

Practice location

258 S Main St
Logan, UT 84321-5767

Mailing address

1248 Grandview Dr
Providence, UT 84332-9317

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X69837453501 (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 1356838486

Mandy Donavan, LCSW's National Provider Identifier is 1356838486, issued on Apr 14, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Logan, UT. The record was last updated on Apr 14, 2018.