Individual provider · Type 1 NPI

Tiffany Statham, LCSW

Clinical Social Worker · Provo, UT

NPI number 1669808317 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Call (801) 357-2068 Map

Fax (801) 357-7274

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7922725-3501 (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 1669808317

Tiffany Statham, LCSW's National Provider Identifier is 1669808317, issued on Sep 25, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Sep 30, 2021.