Individual provider · Type 1 NPI

Kelly Dawn Brose, LCSW

Clinical Social Worker · Provo, UT

NPI number 1962811224 Active

Practice location

1300 E Center St
Provo, UT 84606

Call (801) 344-4400 Map

Mailing address

PO Box 270
Provo, UT 84603-0270

Other practice locations

  • 750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9806442-3501 (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 1962811224

Kelly Dawn Brose, LCSW's National Provider Identifier is 1962811224, issued on Aug 11, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Jul 11, 2019.