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

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