Provider Demographics
NPI:1356899462
Name:GARRIDO, CLARA (LCSW)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:
Last Name:GARRIDO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 E 400 S # 318
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-2993
Mailing Address - Country:US
Mailing Address - Phone:801-773-8388
Mailing Address - Fax:801-931-2173
Practice Address - Street 1:350 E 400 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-2993
Practice Address - Country:US
Practice Address - Phone:801-773-8388
Practice Address - Fax:801-931-2173
Is Sole Proprietor?:No
Enumeration Date:2016-09-18
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13216797-35011041C0700X
UT13216797-3502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical