Individual provider · Type 1 NPI

Lori Marie Willard

Clinical Social Worker · Provo, UT

NPI number 1760199004 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 343-4760 Map

Mailing address

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690

Other practice locations

  • 371 S Vineyard Rd, Orem, UT 84059-2602 · (801) 373-4760

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X14220747-3502 (UT)
Clinical Social Worker Primary 1041C0700X14220747-3502 (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 1760199004

Lori Marie Willard's National Provider Identifier is 1760199004, issued on Nov 4, 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 May 15, 2026.