Individual provider · Type 1 NPI

Matthew James Black

Clinical Social Worker · South Salt Lake, UT

NPI number 1639941925 Active

Practice location

331 W 2700 S
South Salt Lake, UT 84115-2904

Call (801) 678-3317 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11705657-3502 (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 1639941925

Matthew James Black's National Provider Identifier is 1639941925, issued on Oct 30, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Salt Lake, UT. The record was last updated on May 29, 2024.