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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

DOUG E NIELSEN, MSW, LCSW
1466 N HIGHWAY 89 STE 220
FARMINGTON, UT84025-2738
 Phone: 801-451-0475
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for DOUG E NIELSEN · (Male)

NPI Number 1003034240
Status Active
Credentials MSW, LCSW
Entity Individual
Enumeration date 04/23/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 266439-3501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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