Individual provider · Type 1 NPI

Irene Louise Bradford

Clinical Social Worker · Salt Lake City, UT

NPI number 1396043857 Active

Practice location

1020 S Main St Ste 100
Salt Lake City, UT 84101-3194

Call (888) 948-4864 Map

Mailing address

PO Box 572070
Murray, UT 84157-2070

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X101Y00000X-COUNSELOR (UT)
Clinical Social Worker Primary 1041C0700X9466365-3501 (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 1396043857

Irene Louise Bradford's National Provider Identifier is 1396043857, issued on Mar 8, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 9, 2018.