Individual provider · Type 1 NPI

Kelly Rodriguez

Clinical Social Worker · Provo, UT

NPI number 1760108815 Active

Practice location

5455 N River Run Dr
Provo, UT 84604-7726

Call (801) 226-2550 Map

Fax (801) 226-8298

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14287288-3502 (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 1760108815

Kelly Rodriguez's National Provider Identifier is 1760108815, issued on Oct 19, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Jun 25, 2026.