Mr. Mark Douglas Mottonen
Mr. Mark Douglas Mottonen is a Clinical Social Worker in S Salt Lake, Utah. Qualified in 1995, 31 years ago. Practices with University of Utah Behavioral Health Services, a 188-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.
- Years since qualifying
- 31
- Licensed in
- UT
- In the registry since
- 2008
Practice location Address checks out
451 Bishop Federal LnS Salt Lake, UT 84115-2357
Phone: (801) 487-7557
Fax: (801) 468-6838
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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 139850-3501 (UT) |
|---|
Record details
| NPI number | 1861653784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 23, 2008 |
| Last updated in NPPES | November 30, 2021 |
| Certification date | November 30, 2021 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1995 (31 years in practice) |
| Group practice | University Of Utah Behavioral Health Services — 188 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in S Salt Lake
-
Kelly Mabey
3660 S West Temple, S Salt Lake, UT 84115-4441 · (385) 468-4437