Individual provider · Type 1 NPI

Andrea Dixie Larson, L.C.S.W.

Clinical Social Worker · Midvale, UT

NPI number 1508828039 Active

Practice location

7575 S 9th E
Midvale, UT 84047-5100

Call (801) 208-1031 Map

Fax (801) 208-1987

Mailing address

11410 Cherry Hill Dr
Sandy, UT 84094-5675

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X345808-3501 (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 1508828039

Andrea Dixie Larson, L.C.S.W.'s National Provider Identifier is 1508828039, issued on Apr 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Midvale, UT. The record was last updated on Jan 20, 2009.