Individual provider · Type 1 NPI
Richard Lee Wailes, LCSW
Clinical Social Worker · West Jordan, UT
Practice location
2096 Arthur Dr
West Jordan, UT 84084-3237
Fax (866) 882-3907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 324302-3501 (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 1740346113
Richard Lee Wailes, LCSW's National Provider Identifier is 1740346113, issued on Dec 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Jordan, UT. The record was last updated on Nov 4, 2007.