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

Michael Brendan Wanlass, LCSW

Individual provider Clinical Social Worker · NPI 1184285363

Michael Brendan Wanlass, LCSW is a Clinical Social Worker in Provo, Utah. Qualified in 2007, 19 years ago. Practices with State of Utah, a 31-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1300 E Center St
Provo, UT 84606-3554
Phone: (801) 344-4400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7122314-3501 (UT)

Record details

NPI number1184285363
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESJune 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice State Of Utah — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Provo