Assessment, Counseling, & Educational Services

Clinical Social Worker · Salt Lake City, UT

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At a glance

2970 S Main St Ste 200, Salt Lake City, UT 84115-6034

NPPES record updated Jun 28, 2011. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2970 S Main St Ste 200
Salt Lake City, UT 84115-6034
Professional details: NPI, taxonomy & registry record
NPI1154614964
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
May 26, 2011
Record updated
Jun 28, 2011
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License reported: 6613419-3501 UT

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2970 S Main St Ste 200
Salt Lake City, UT 84115-6034
Phone
(801) 265-8000
Fax
(801) 265-8004
Mailing address
2970 S MAIN ST STE 200

SALT LAKE CITY, UT 841156034
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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