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JORDAN VALLEY COUNSELING CLINIC NPI 1487921722


NPI Information

NPI: 1487921722
Provider Name: JORDAN VALLEY COUNSELING CLINIC

Other Name: JORDAN VALLEY COUNSELING

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 46D0685802

Address:
9528 CALEDONIA CIR
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 282-1374
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JORDAN VALLEY COUNSELING CLINIC is a clinical social worker in South Jordan, UT. The provider is 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. JORDAN VALLEY COUNSELING CLINIC NPI is 1487921722. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jordan Valley Counseling.

The provider's business location address is:

9528 CALEDONIA CIR
SOUTH JORDAN, UT
ZIP 84095-701
Phone: (801) 282-1374
Fax: (801) 280-8225

The provider's authorized official is Veon Smith .
The authorized official title is Owner / Partner and has the following contact phone number (801) 282-1374.

The CLIA number assigned to this NPI record is 46D0685802 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical1012653501UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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