Individual provider · Type 1 NPI
Mark Douglas Mottonen
Clinical Social Worker · South Salt Lake, UT
Practice location
451 Bishop Federal Ln
South Salt Lake, UT 84115-2357
Fax (801) 468-6838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 139850-3501 (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 1861653784
Mark Douglas Mottonen's National Provider Identifier is 1861653784, issued on Jun 23, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Salt Lake, UT. The record was last updated on Nov 30, 2021.