Individual provider · Type 1 NPI

Spencer Kjell Taysom

Clinical Social Worker · Provo, UT

NPI number 1780163295 Active · reactivated Aug 9, 2022

Practice location

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

Call (801) 373-4760 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10906718-3501 (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 1780163295

Spencer Kjell Taysom's National Provider Identifier is 1780163295, issued on Aug 7, 2018. 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 17, 2024.