Individual provider · Type 1 NPI
Bryan K. Wilde, LCSW
Clinical Social Worker · Taylorsville, UT
Practice location
5770 S 1500 W Ste 105
Taylorsville, UT 84123-5216
Fax (801) 313-7771
Mailing address
PO Box 27128, Suite 105
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 365238-3501 (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 1942430863
Bryan K. Wilde, LCSW's National Provider Identifier is 1942430863, issued on Jul 27, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taylorsville, UT. The record was last updated on Dec 2, 2025.