Individual provider · Type 1 NPI

Brian Tanner Timberlake

Clinical Social Worker · Roosevelt, UT

NPI number 1497444855 Active

Practice location

290 W 800 S
Roosevelt, UT 84066

Call (435) 725-6300 Map

Fax (435) 725-6325

Mailing address

1140 W 500 S Ste 9
Vernal, UT 84078-2912

Other practice locations

  • 285 W 800 S, Roosevelt, UT 84066-3707 · (435) 725-6300

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9853642-3501 (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 1497444855

Brian Tanner Timberlake's National Provider Identifier is 1497444855, issued on May 2, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roosevelt, UT. The record was last updated on Jul 13, 2026.