Individual provider · Type 1 NPI

David Scott Derezotes, LCSW, PhD

Clinical Social Worker · Salt Lake City, UT

NPI number 1487814018 Active

Practice location

3669 Oakview Dr
Salt Lake City, UT 84124-3327

Fax (801) 585-3219

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1381923501 (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 1487814018

David Scott Derezotes, LCSW, PhD's National Provider Identifier is 1487814018, issued on Jun 17, 2008. 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 17, 2008.