Individual provider · Type 1 NPI

Tamara Mae Manley, LICSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1497212450 Active

Practice location

500 Foothill Dr
Salt Lake City, UT 84148-0001

Mailing address

1283 N 500 W
Orem, UT 84057-2929

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X61340040 (WA)
Clinical Social Worker 1041C0700X7251107-3501 (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 1497212450

Tamara Mae Manley, LICSW's National Provider Identifier is 1497212450, issued on Feb 26, 2019. 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 8, 2025.