Individual provider · Type 1 NPI

Gary Earl Brundage

Clinical Social Worker · Roy, UT

NPI number 1861707036 Active

Practice location

5640 S 3500 W
Roy, UT 84067-9158

Call (017) 732-8388 Map

Fax (801) 773-3025

Mailing address

713 Hislop Dr
Ogden, UT 84404-6809

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X7435-C (NV)
Clinical Social Worker Primary 1041C0700X8666499-3501 (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 1861707036

Gary Earl Brundage's National Provider Identifier is 1861707036, issued on Aug 12, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roy, UT. The record was last updated on Jul 29, 2022.