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

Spencer Kjell Taysom

Individual provider Clinical Social Worker · NPI 1780163295

Spencer Kjell Taysom is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2018.

Licensed in
UT
In the registry since
2018

Practice location Address checks out

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690
Phone: (801) 373-4760
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 10906718-3501 (UT)

Record details

NPI number1780163295
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESJune 17, 2024
Certification dateOctober 11, 2022

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