Individual provider · Type 1 NPI

Nicola A. Eddleman, LCSW

Clinical Social Worker · Midvale, UT

NPI number 1942174255 Active

Practice location

623 E Fort Union Blvd Ste 105
Midvale, UT 84047-5529

Fax (800) 856-3698

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5950578-3501 (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 1942174255

Nicola A. Eddleman, LCSW's National Provider Identifier is 1942174255, issued on Sep 30, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Midvale, UT. The record was last updated on Sep 30, 2025.