Individual provider · Type 1 NPI
Andrew C. Sidoli, LMSW, LADAC
Clinical Social Worker · Salt Lake City, UT
Practice location
10459 West 1300 South, #102
Salt Lake City, UT 84095
Mailing address
2220 E Murray Holladay Rd Apt 6
Salt Lake City, UT 84117-5314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | M-08108 (NM) |
| Clinical Social Worker | 1041C0700X | 103202 (CA) |
| Clinical Social Worker | 1041C0700X | 10084958-3501 (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 1639493323
Andrew C. Sidoli, LMSW, LADAC's National Provider Identifier is 1639493323, issued on Mar 24, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 24, 2022.