Individual provider · Type 1 NPI

Mark Alan Weisbender, LCSW

Clinical Social Worker · South Salt Lake, UT

NPI number 1487616330 Active

Practice location

3195 S Main St Ste 180
South Salt Lake, UT 84115-3790

Fax (801) 983-5542

Mailing address

PO Box 824
Draper, UT 84020-0801

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X263270-3501 (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 1487616330

Mark Alan Weisbender, LCSW's National Provider Identifier is 1487616330, issued on Apr 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Salt Lake, UT. The record was last updated on Aug 4, 2023.