Individual provider · Type 1 NPI

Mark Jim Shelton, LCSW

Clinical Social Worker · Tooele, UT

NPI number 1770554289 Active

Practice location

100 S 1000 W
Tooele, UT 84074-4010

Call (435) 843-3520 Map

Fax (435) 843-3555

Mailing address

355 Champlaine St.
Tooele, UT 84074

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X128877-3501 (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 1770554289

Mark Jim Shelton, LCSW's National Provider Identifier is 1770554289, issued on Feb 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tooele, UT. The record was last updated on Jul 13, 2026.