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

Tamara Mae Manley, LICSW

Individual provider Clinical Social Worker · NPI 1497212450

Tamara Mae Manley, LICSW is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Utah and Washington. Registered with an NPI since 2019.

Licensed in
UT, WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

500 Foothill Dr
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
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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 61340040 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7251107-3501 (UT)

Record details

NPI number1497212450
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2019
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

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