Individual provider · Type 1 NPI

Mark Douglas Mottonen

Clinical Social Worker · South Salt Lake, UT

NPI number 1861653784 Active

Practice location

451 Bishop Federal Ln
South Salt Lake, UT 84115-2357

Fax (801) 468-6838

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X139850-3501 (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.