Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. David Scott Derezotes, LCSW, PHD

Individual provider Clinical Social Worker · NPI 1487814018

Dr. David Scott Derezotes, LCSW, PHD is a Clinical Social Worker in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3669 Oakview Dr
Salt Lake City, UT 84124-3327
Phone: (801) 585-3546
Fax: (801) 585-3219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1381923501 (UT)

Record details

NPI number1487814018
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , PHD
Sole proprietorYes
NPI enumeratedJune 17, 2008
Last updated in NPPESJune 17, 2008

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