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

Shelly Rae Coburn, LCSW

Individual provider Clinical Social Worker · NPI 1144867938

Shelly Rae Coburn, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

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.

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Practice location Address checks out

1609 E Millcreek Way
Salt Lake City, UT 84106-3231
Phone: (801) 633-8290
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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 7970000-3501 (UT)

Record details

NPI number1144867938
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 29, 2019
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

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