Individual provider · Type 1 NPI

Holly Michelle Mickelson

Clinical Social Worker · Roosevelt, UT

NPI number 1407735277 Active

Practice location

290 W 800 S
Roosevelt, UT 84066

Call (435) 725-6300 Map

Fax (435) 725-6325

Mailing address

1140 W 500 S Ste 9
Vernal, UT 84078-2912

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSTUDENT (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 1407735277

Holly Michelle Mickelson's National Provider Identifier is 1407735277, issued on Aug 27, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roosevelt, UT. The record was last updated on Aug 27, 2025.