Individual provider · Type 1 NPI

Derek Paul Davis, LCSW

Clinical Social Worker · Provo, UT

NPI number 1386624625 Active

Practice location

1300 E Center St
Provo, UT 84606-3554

Mailing address

PO Box 270
Provo, UT 84603-0270

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X139877-3501 (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 1386624625

Derek Paul Davis, LCSW's National Provider Identifier is 1386624625, issued on Jan 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Jun 28, 2019.