Ejay Jack, LCSW - Salt Lake City, UT

Ejay Jack, LCSW

Clinical Social Worker in Salt Lake City, Utah

NPI 1306500590

Ejay Jack is a Clinical Social Worker based in Salt Lake City, UT and is specialized in Clinical. Ejay Jack practices in Salt Lake City, UT and has the professional credentials of LCSW. The NPI Number for Ejay Jack is 1306500590 and holds a License No. 24475 (Utah).

The current practice location address for Ejay Jack is 389 S 900 E, Salt Lake City, UT and can be reached out via phone at 385-282-2500 and via fax at 385-282-2501.

Location: 389 S 900 E, Salt Lake City, UT, 84102-2310

NPI Number

1306500590

Provider Name

Ejay Jack

Credential

LCSW

Provider Entity Type

Individual

Gender

Male

Address

389 S 900 E, Salt Lake City, UT, 84102-2310

Phone Number

385-282-2500

Fax Number

385-282-2501

Provider Enumeration Date

10/25/2021

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
12490452-3501	01	UT	STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING, LCSW LICENSE
24475	01	MN	STATE OF MINNESOTA BOARD OF SOCIAL WORK, LICSW LICENSE

Address

389 S 900 E

City

Salt Lake City

State

Utah

Zip

84102-2310

Phone Number

385-282-2500

Fax Number

385-282-2501

Address

389 S 900 E

City

Salt Lake City

State

Utah

Zip

84102-2310

Phone Number

385-282-2500

Fax Number

385-282-2501

Type

Behavioral Health & Social Service Providers

Classification

Social Worker

Speciality

Clinical

Taxonomy

1041C0700X

License No.

24475 (Minnesota)

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.

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