Individual provider · Type 1 NPI

Penelope Bergeron, LCSW

Clinical Social Worker · Provo, UT

NPI number 1457719924 Active

Practice location

315 S 100 E
Provo, UT 84606-4649

Call (801) 318-7037 Map

Mailing address

5612 W 10930 N
Highland, UT 84003-8897

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7005879-3501 (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 1457719924

Penelope Bergeron, LCSW's National Provider Identifier is 1457719924, issued on Jan 29, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Jan 29, 2016.