Individual provider · Type 1 NPI

John Russell Bonnett, C.S.W.

Clinical Social Worker · Provo, UT

NPI number 1609232206 Active

Practice location

4501 N University Ave
Provo, UT 84604-5504

Mailing address

258 S 230 E
Orem, UT 84058-5526

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4741940-3502 (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 1609232206

John Russell Bonnett, C.S.W.'s National Provider Identifier is 1609232206, issued on Jan 12, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Jan 12, 2016.