Individual provider · Type 1 NPI

Annelise Ross

Clinical Social Worker · West Valley, UT

NPI number 1619852209 Active

Practice location

2655 S Lake Erie Dr
West Valley, UT 84120-7350

Mailing address

4234 W Lake Bridge Dr
South Jordan, UT 84009-7723

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14232069-3502 (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 1619852209

Annelise Ross's National Provider Identifier is 1619852209, issued on Aug 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Valley, UT. The record was last updated on Aug 11, 2025.