Organization · Type 2 NPI

Coronado Wellness LLC

Clinical Social Worker · Provo, UT

NPI number 1700771995 Active

Practice location

3507 N University Ave Ste 225
Provo, UT 84604-6635

Call (801) 960-9355 Map

Other practice locations

  • 11576 S State St Ste 202, Draper, UT 84020-7177 · (801) 960-9355
  • 1220 N Main St Ste 11, Springville, UT 84663-4016 · (801) 960-9355
  • 5137 S 1500 W, Riverdale, UT 84405-3926 · (801) 960-9355
  • 1657 N Guardian Dr, Saratoga Springs, UT 84045-5871 · (801) 960-9355

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed

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 1700771995

Coronado Wellness LLC's National Provider Identifier is 1700771995, issued on Jun 10, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Oct 21, 2026.