Individual provider · Type 1 NPI

Mark David De St. Aubin, LCSW, CT

Clinical Social Worker · Salt Lake City, UT

NPI number 1861798142 Active

Practice location

5005 S 900 E Ste 120
Salt Lake City, UT 84117-5711

Mailing address

3351 El Serrito Dr
Salt Lake City, UT 84109-4249

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X133556-3501 (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 1861798142

Mark David De St. Aubin, LCSW, CT's National Provider Identifier is 1861798142, issued on Feb 3, 2011. 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 Feb 3, 2011.