Individual provider · Type 1 NPI

Brad Kelstrom, LCSW

Clinical Social Worker · Logan, UT

NPI number 1396085486 Active

Practice location

40 W Cache Valley Blvd Ste 10A
Logan, UT 84341-8450

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	7731529-3501 (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 1396085486

Brad Kelstrom, LCSW's National Provider Identifier is 1396085486, issued on Feb 26, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Logan, UT. The record was last updated on Feb 26, 2013.