Individual provider · Type 1 NPI

Blaise Maruri Mendenhall

Clinical Social Worker · Ogden, UT

NPI number 1922519404 Active

Practice location

237 26th St
Ogden, UT 84401-3105

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700X134007603501 (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 1922519404

Blaise Maruri Mendenhall's National Provider Identifier is 1922519404, issued on Oct 24, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ogden, UT. The record was last updated on Jun 5, 2026.