IndividualActive
Clark Powell, L.C.S.W.
NPI 1245543313 · Clinical Social Worker · Moroni, UT
Provider details
- NPI number
- 1245543313
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 139432-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
21260 North 1450 East
Moroni, UT 84646-0383
Phone: (435) 851-6821
Approximate (ZIP-level) locationGet directions
Mailing address
21260 North 1450 East
Moroni, UT 84646-0383
Registry dates
- Enumerated
- 2010-07-19
- Last updated
- 2010-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.