Individual provider · Type 1 NPI

Jan Wimmer, L.C.S.W.

Clinical Social Worker · North Logan, UT

NPI number 1689104309 Active

Practice location

186 E 1800 N
North Logan, UT 84341-2019

Mailing address

285 Stonehenge Dr
Providence, UT 84332-9645

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X125403-6008 (UT)
Clinical Social Worker Primary 1041C0700X125403-3501 (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 1689104309

Jan Wimmer, L.C.S.W.'s National Provider Identifier is 1689104309, issued on Jun 14, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Logan, UT. The record was last updated on Jun 14, 2017.