Individual provider · Type 1 NPI

Timothy Shea Enniss, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1750487864 Active

Practice location

1208 E 3300 S
Salt Lake City, UT 84106-2522

Call (801) 483-1600 Map

Fax (801) 483-1610

Mailing address

2922 W 12875 S
Riverton, UT 84065-6846

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5664530-3501 (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 1750487864

Timothy Shea Enniss, LCSW's National Provider Identifier is 1750487864, issued on Sep 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 12, 2017.