Individual provider · Type 1 NPI

Brandon S. Gwilliam, LCSW

Clinical Social Worker · Provo, UT

NPI number 1942550488 Active

Practice location

1807 N 1120 W
Provo, UT 84604-1180

Fax (801) 377-0227

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X73813593501 (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 1942550488

Brandon S. Gwilliam, LCSW's National Provider Identifier is 1942550488, issued on Sep 12, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Sep 12, 2012.