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

Mr. Michael Ted Boman, LCSW

Individual provider Clinical Social Worker · NPI 1508828930

Mr. Michael Ted Boman, LCSW is a Clinical Social Worker in Magna, Utah. Licensed in Utah. Registered with an NPI since 2006.

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

3564 S 7200 W
Magna, UT 84044-3507
Phone: (801) 250-2909
Fax: (801) 252-0444
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 373112-3501 (UT)

Record details

NPI number1508828930
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESJuly 13, 2026

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