Individual provider · Type 1 NPI
Shane Maylin Pitcher, LCSW
Clinical Social Worker · Salt Lake City, UT
Practice location
645 S 1300 E
Salt Lake City, UT 84102-3206
Mailing address
5626 Vista Ridge Way
Kearns, UT 84118-9354
Other practice locations
- 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 · (801) 468-6842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 7036797-3502 (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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- Ryan Bolander, LCSWClinical Social Worker Salt Lake City, UT NPI 1003370768
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About NPI 1487973863
Shane Maylin Pitcher, LCSW's National Provider Identifier is 1487973863, issued on May 24, 2010. 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 Dec 18, 2020.