Individual provider · Type 1 NPI

Jennifer Ketchoyian

Clinical Social Worker · Salt Lake City, UT

NPI number 1588972756 Active

Practice location

177 Price Ave
Salt Lake City, UT 84115-4345

Call (801) 269-7533 Map

Fax (801) 269-7565

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X333128-3501 (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 1588972756

Jennifer Ketchoyian's National Provider Identifier is 1588972756, issued on Sep 21, 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 Sep 21, 2010.