Individual provider · Type 1 NPI

Dominick Antonio Jefferies, MSW, CSW

Clinical Social Worker · Holladay, UT

NPI number 1386966406 Active

Practice location

4609 S 2300 E
Holladay, UT 84117-4527

Mailing address

406 N Main St
Bountiful, UT 84010-6035

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X324500-3502 (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 1386966406

Dominick Antonio Jefferies, MSW, CSW's National Provider Identifier is 1386966406, issued on Feb 16, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holladay, UT. The record was last updated on Feb 16, 2010.