Individual provider · Type 1 NPI

Gina Marie Attallah, L.C.S.W.

Clinical Social Worker · West Valley City, UT

NPI number 1679543185 Active

Practice location

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

Call (801) 982-3064 Map

Fax (801) 982-3159

Mailing address

1795 S 1700 E
Salt Lake City, UT 84108-2970

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X49721143501 (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 1679543185

Gina Marie Attallah, L.C.S.W.'s National Provider Identifier is 1679543185, issued on Jan 25, 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 Sep 11, 2012.