Individual provider · Type 1 NPI

Jericho Brent Avery, CSW, CSUDC

Clinical Social Worker · American Fork, UT

NPI number 1649838863 Active

Practice location

21 E 100 N
American Fork, UT 84003-1651

Call (385) 374-9708 Map

Mailing address

2214 E Loch Lomond Dr
Saratoga Springs, UT 84043-3911

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10395960-3501 (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 1649838863

Jericho Brent Avery, CSW, CSUDC's National Provider Identifier is 1649838863, issued on Jun 3, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in American Fork, UT. The record was last updated on Jul 7, 2026.