Individual provider · Type 1 NPI

Brooke Wily Ibanez, LCSW

Clinical Social Worker · Lindon, UT

NPI number 1659786747 Active

Practice location

2578 W 600 N Ste 102
Lindon, UT 84042-1260

Call (385) 220-0770 Map

Fax (385) 900-1637

Mailing address

552 N 1540 W
Lindon, UT 84042-2076

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X52622313502 (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 1659786747

Brooke Wily Ibanez, LCSW's National Provider Identifier is 1659786747, issued on Jun 26, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lindon, UT. The record was last updated on Mar 14, 2025.