Individual provider · Type 1 NPI

Shane Maylin Pitcher, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1487973863 Active

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

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7036797-3502 (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 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.