Individual provider · Type 1 NPI

Rebecca Connie Pedersen, LICSW, SUDP, LCSW

Clinical Social Worker · American Fork, UT

NPI number 1386022978 Active

Practice location

802 E Bamberger Dr Ste A
American Fork, UT 84003-2179

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCP60818488 (WA)
Clinical Social Worker 1041C0700XLW61089331 (WA)
Clinical Social Worker Primary 1041C0700X365936-3501 (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 1386022978

Rebecca Connie Pedersen, LICSW, SUDP, LCSW's National Provider Identifier is 1386022978, issued on May 14, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in American Fork, UT. The record was last updated on Oct 2, 2024.