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

Richard Lee Wailes, LCSW

Individual provider Clinical Social Worker · NPI 1740346113

Richard Lee Wailes, LCSW is a Clinical Social Worker in West Jordan, 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

2096 Arthur Dr
West Jordan, UT 84084-3237
Phone: (801) 808-1072
Fax: (866) 882-3907
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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 324302-3501 (UT)

Record details

NPI number1740346113
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 29, 2006
Last updated in NPPESNovember 4, 2007
Mailing address2096 Arthur Dr, West Jordan, UT 84084-3237

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