Individual provider · Type 1 NPI

Robert E. Banta, LCSW

Clinical Social Worker · Sandy, UT

NPI number 1609000561 Active

Practice location

9160 S 300 W, Suite 22
Sandy, UT 84070-2655

Fax (801) 208-1011

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X362807-3501 (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 1609000561

Robert E. Banta, LCSW's National Provider Identifier is 1609000561, issued on May 6, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sandy, UT. The record was last updated on May 6, 2009.