Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brent Andrew Tycksen Jr., LCSW

Individual provider Clinical Social Worker · NPI 1962856930

Brent Andrew Tycksen Jr., LCSW is a Clinical Social Worker in Provo, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

5600 N 250 W
Provo, UT 84604
Phone: (801) 226-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 N Freedom Blvd, Provo, UT 84601-1677 — (801) 373-4760

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10535183-3501 (UT)

Record details

NPI number1962856930
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 15, 2016
Last updated in NPPESOctober 23, 2023
Certification dateOctober 20, 2023

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