Individual provider · Type 1 NPI
Mary Ella Witebsky, LCSW
Clinical Social Worker · Salt Lake City, UT
Practice location
265 E 100 S Ste 250
Salt Lake City, UT 84111-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 11465715-3501 (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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- Ryan Bolander, LCSWClinical Social Worker Salt Lake City, UT NPI 1003370768
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- Andrew Johnson, LCSWClinical Social Worker Salt Lake City, UT NPI 1003621756
About NPI 1821730375
Mary Ella Witebsky, LCSW's National Provider Identifier is 1821730375, issued on Apr 13, 2022. 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 Jul 21, 2025.