Individual provider · Type 1 NPI

Kendall Kristanne Paxman-Black, MSW, CSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1407697816 Active

Practice location

352 S Denver St Ste 350
Salt Lake City, UT 84111-3059

Call (801) 521-4227 Map

Fax (801) 359-0777

Mailing address

PO Box 3872
Salt Lake City, UT 84110-3872

Other practice locations

  • 370 S 500 E Ste 209, Clearfield, UT 84015-4063 · (801) 521-4227

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X10697151-3502
Mental Health Counselor 101YM0800X10697151-3502
Clinical Social Worker Primary 1041C0700X10697151-3502 (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 1407697816

Kendall Kristanne Paxman-Black, MSW, CSW's National Provider Identifier is 1407697816, issued on Jun 3, 2024. 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 Jun 3, 2024.