Individual provider · Type 1 NPI

Kelli Clark Jacobsen, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1871636043 Active

Practice location

450 S 900 E Ste 300
Salt Lake City, UT 84102-3064

Call (801) 534-7916 Map

Fax (801) 532-3608

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6953774-3501 (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 1871636043

Kelli Clark Jacobsen, LCSW's National Provider Identifier is 1871636043, issued on Feb 15, 2007. 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 Oct 18, 2010.