Organization · Type 2 NPI

Utah Lakes Neuroscience Mental Health Center PLLC

Clinical Social Worker · Provo, UT

NPI number 1609404813 Active

Practice location

3549 N University Ave Ste 200
Provo, UT 84604-4417

Call (385) 265-2484 Map

Fax (877) 894-5104

Mailing address

223 W Cougar Blvd # 704
Provo, UT 84604-2546

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1609404813

Utah Lakes Neuroscience Mental Health Center PLLC's National Provider Identifier is 1609404813, issued on Apr 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Apr 2, 2020.