Healther Providers Data Logo

46D0685802 CLIA NUMBER - JORDAN VALLEY DERMATOLOGY CENTER

Laboratory Demographics

CLIA Number: 46D0685802

Facility Name: JORDAN VALLEY DERMATOLOGY CENTER

Facility Address:
10654 S RIVER HEIGHTS DRIVE, SUITE 210
SOUTH JORDAN, UT
ZIP 84095
Get Directions

Facility Phone Number: 801 569-1456

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1487921722

Taxonomy: 1041C0700X - 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

CLIA Record

Field Name Field Value
CLIA Number 46D0685802
LAB Type Physician Office
Facility Name JORDAN VALLEY DERMATOLOGY CENTER
Street 10654 S RIVER HEIGHTS DRIVE, SUITE 210
City SOUTH JORDAN
State UT
ZIP 84095
Phone 801 569-1456
CertificateType 2
CertificateEffectiveDate 12/8/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024