Individual provider · Type 1 NPI

Mary Michelle Gourley, MFT, LCSW, JD

Clinical Social Worker · Salt Lake City, UT

NPI number 1649503723 Active

Practice location

1390 S 1100 E, Suite 203
Salt Lake City, UT 84105-2461

Call (801) 983-5700 Map

Fax (801) 983-5701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1321743501 (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 1649503723

Mary Michelle Gourley, MFT, LCSW, JD's National Provider Identifier is 1649503723, issued on Sep 8, 2009. 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 Sep 8, 2009.