Samuel Jacob Hansen
Samuel Jacob Hansen is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2021.
- Licensed in
- UT
- In the registry since
- 2021
Practice location Address checks out
580 E 600 SProvo, UT 84606-4854
Phone: (801) 852-1624
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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 7477111-3501 (UT) |
|---|
Record details
| NPI number | 1518559814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 8, 2021 |
| Last updated in NPPES | July 29, 2026 |
| Certification date | July 29, 2026 |
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