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

Mr. Mark Alan Weisbender, LCSW

Individual provider Clinical Social Worker · NPI 1487616330

Mr. Mark Alan Weisbender, 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
2006
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

3195 S Main St Ste 180
South Salt Lake, UT 84115-3790
Phone: (801) 983-5540
Fax: (801) 983-5542
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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 263270-3501 (UT)

Record details

NPI number1487616330
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 5, 2006
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing addressPo Box 824, Draper, UT 84020-0801

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