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

Michael Bodrero, LCSW

Individual provider Clinical Social Worker · NPI 1245889682

Michael Bodrero, LCSW is a Clinical Social Worker in Providence, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2019
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

15 S Main St # B101
Providence, UT 84332-9786
Phone: (435) 512-2275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1683 S Hwy 89, Logan, UT 84321-6212 — (435) 512-2275

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10513315-3502 (UT)

Record details

NPI number1245889682
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2019
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address15 S Main St # B101, Providence, UT 84332-9786

Other providers in Providence