Individual provider · Type 1 NPI

Justin D. Clark, LCSW

Clinical Social Worker · Murray, UT

NPI number 1912483645 Active

Practice location

4516 S 700 E Ste 170
Murray, UT 84107-8320

Call (801) 613-2552 Map

Fax (801) 459-1200

Mailing address

5221 S Cobble Creek Rd Apt 3L
Murray, UT 84117-6717

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9539877-3501 (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 1912483645

Justin D. Clark, LCSW's National Provider Identifier is 1912483645, issued on Jul 16, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Murray, UT. The record was last updated on Oct 6, 2023.