Provider Demographics
NPI:1528509353
Name:CLAAR, RENAE ELIZABETH (LCSW)
Entity type:Individual
Prefix:
First Name:RENAE
Middle Name:ELIZABETH
Last Name:CLAAR
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 1:992 E 12600 S
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-9306
Mailing Address - Country:US
Mailing Address - Phone:801-616-1121
Mailing Address - Fax:
Practice Address - Street 1:668 E 12225 S
Practice Address - Street 2:STE 202
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-8340
Practice Address - Country:US
Practice Address - Phone:801-619-6569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7085716-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical