Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588097786 Individual Practitioner Female Practitioner

Teryl L Clark , LCSW

Counselor - Professional • American Fork, UT

Professional Overview & Biography Verified Profile Summary

Teryl Clark, LCSW is a registered healthcare professional specializing in Counselor - Professional in American Fork, UT. Practice services are available at 789 BAMBERGER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

789 Bamberger Dr
Suite A

American Fork, UT 840032181

Telephone 8019158792
Associated Practice Facility / Clinic
🏢 Steven Eastmond, Llc Facility NPI 1578819892

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in American Fork, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
14 Specialists

Practicing in American Fork, UT (520 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License UT 5970987-3501

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Cassaundra Bess , LCSW

Social Worker - Clinical

NPI 1346633302

Licensed Clinical Social Worker

Steven Eastmond , LCSW

Social Worker - Clinical

NPI 1861745978

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2013

Registered at 789 BAMBERGER DR, SUITE A, AMERICAN FORK, UT 840032181 (Tel: 8019158792)

📍
Updated Business Mailing Address August 12, 2013

Registered at 13478 S LONE ROCK, DRAPER, UT 84020 (Tel: 8019158792)

👤
Provider Name / Credentials Updated August 12, 2013

Recorded as TERYL CLARK, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2013

Counselor (License #5970987-3501 in UT)

🟢
Initial NPI Registration & Enumeration August 12, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588097786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2013
Last Update: August 12, 2013
Sole Proprietor: Yes

Mailing Address

13478 S Lone Rock

Draper, UT 84020

Phone: 8019158792

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.