Individual provider · Type 1 NPI

Brent Andrew Tycksen Jr., LCSW

Clinical Social Worker · Provo, UT

NPI number 1962856930 Active

Practice location

5600 North 250 West
Provo, UT 84604

Call (801) 226-4600 Map

Mailing address

173 E 10000 S
Salem, UT 84653-9253

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10535183-3501 (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 1962856930

Brent Andrew Tycksen Jr., LCSW's National Provider Identifier is 1962856930, issued on Apr 15, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Oct 23, 2023.