Organization · Type 2 NPI
Breakaway Counseling, LLC
Clinical Social Worker · South Jordan, UT
Practice location
489 W South Jordan Pkwy Ste 256
South Jordan, UT 84095-3979
Mailing address
11153 S Devon View Dr
South Jordan, UT 84095-4142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1972485035
Breakaway Counseling, LLC's National Provider Identifier is 1972485035, issued on Jul 21, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Jordan, UT. The record was last updated on Jul 21, 2025.