Individual provider · Type 1 NPI

Gina Lelala Mabel Purcell, LCSW

Clinical Social Worker · Provo, UT

NPI number 1679684492 Active

Practice location

750 North 200 West
Provo, UT 84601

Fax (801) 373-0639

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	3747763501 (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 1679684492

Gina Lelala Mabel Purcell, LCSW's National Provider Identifier is 1679684492, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.