Individual provider · Type 1 NPI

Tammy Ellis

Clinical Social Worker · Bountiful, UT

NPI number 1598167488 Active

Practice location

390 N Main St
Bountiful, UT 84010-6046

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 663 W 950 S, Brigham City, UT 84302-3021 · (435) 734-9449

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9846070-3502 (UT)
Student in an Organized Health Care Education/Training Program 390200000XNone 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…

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About NPI 1598167488

Tammy Ellis's National Provider Identifier is 1598167488, issued on Sep 22, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bountiful, UT. The record was last updated on Mar 8, 2024.