Individual provider · Type 1 NPI
Jedediah Rushforth, LCSW
Clinical Social Worker · Salt Lake City, UT
Practice location
5770 S 1500 W
Salt Lake City, UT 84123-5216
Fax (801) 313-7771
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6620938-3501 (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 1669027702
Jedediah Rushforth, LCSW's National Provider Identifier is 1669027702, issued on Aug 6, 2019. 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 May 22, 2025.