Individual provider · Type 1 NPI

Brooke Willis

Clinical Social Worker · Provo, UT

NPI number 1467905059 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Fax (801) 373-0639

Mailing address

750 N 200 W
Provo, UT 84604-7510

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X10375300-3502 (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 1467905059

Brooke Willis's National Provider Identifier is 1467905059, issued on Jul 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 May 30, 2017.