Individual provider · Type 1 NPI

Victoria Ann Liedtke, LCSW

Clinical Social Worker · West Valley City, UT

NPI number 1659351492 Active

Practice location

2525 Lake Park Blvd
West Valley City, UT 84120-8230

Fax (855) 525-7075

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	3480263501 (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 1659351492

Victoria Ann Liedtke, LCSW's National Provider Identifier is 1659351492, issued on Jan 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Valley City, UT. The record was last updated on Jul 22, 2011.