Individual provider · Type 1 NPI

Lyly Gonoratskiy, CSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1982593968 Active

Practice location

370 E South Temple Ste 580
Salt Lake City, UT 84111-1349

Call (801) 200-3372 Map

Mailing address

3800 S Ash Cir
Salt Lake City, UT 84109-3749

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13913570-3502 (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 1982593968

Lyly Gonoratskiy, CSW's National Provider Identifier is 1982593968, issued on Jul 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 2, 2025.