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

Glen Lewis Youngstrom, LCSW

Individual provider Clinical Social Worker · NPI 1851690986

Glen Lewis Youngstrom, LCSW is a Clinical Social Worker in South Salt Lake, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2500 S State St
South Salt Lake, UT 84115-3164
Phone: (385) 646-5000
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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 6619386-3502 (UT)

Record details

NPI number1851690986
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 15, 2011
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

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