Organization · Type 2 NPI
Cannon Therapeutic
Clinical Social Worker · Midway, UT
Practice location
125 W Main St Unit 324
Midway, UT 84049-8014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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…
About NPI 1497624951
Cannon Therapeutic's National Provider Identifier is 1497624951, issued on Nov 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Midway, UT. The record was last updated on Nov 3, 2025.