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Charles L Diviney Iii Mc Lpc Ncc
Psychiatric/Mental Health Clinical Nurse Specialist in Slc, Utah
NPI 1235447772

Charles L Diviney Iii Mc Lpc Ncc is a Psychiatric/Mental Health Clinical Nurse Specialist based in Slc, UT and is specialized in Psychiatric/Mental Health. Charles L Diviney Iii Mc Lpc Ncc practices in Slc, UT. The NPI Number for Charles L Diviney Iii Mc Lpc Ncc is 1235447772 and holds a License No. 340426-6004 (Utah).

The current practice location address for Charles L Diviney Iii Mc Lpc Ncc is 352 So Denver St., Slc, UT and can be reached out via phone at 801-521-4227 and via fax at 801-359-0777.

Location: 352 So Denver St., Slc, UT, 84110-3872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235447772
Provider Name
Charles L Diviney Iii Mc Lpc Ncc
Credential
Provider Entity Type
Organization
Address
352 So Denver St., Slc, UT, 84110-3872
Phone Number
801-521-4227
Fax Number
801-359-0777
Provider Enumeration Date
09/17/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340426600001001 01 UT BCBS UT
institution
Provider Business Practice Location Address Details
Address
352 So Denver St.
City
Slc
State
Utah
Zip
84110-3872
Phone Number
801-521-4227
Fax Number
801-359-0777
person
Provider Business Mailing Address Details
Address
352 So Denver St.
City
Slc
State
Utah
Zip
84110-3872
Phone Number
801-521-4227
Fax Number
801-359-0777
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6281940-3501 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
5170621-6004 (Utah)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
364SP0808X
License No.
340426-6004 (Utah)
Definition
Definition to come...
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