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BRENT ANDREW TYCKSEN JR. LCSW
NPI 1962856930
Social Worker - Clinical in Provo, UT

Active since April 15, 2016
5600 NORTH 250 WEST, PROVO, UT 84604(801) 226-4600 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brent Andrew Tycksen Jr. Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT ANDREW TYCKSEN JR. LCSW (NPI 1962856930) is an individual clinical provider in Provo, Utah, licensed in Utah (10535183-3501) and active in the NPI registry since April 2016. He maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1962856930
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRENT ANDREW TYCKSEN JR.Credential: LCSW
Location Address5600 NORTH 250 WESTProvo, UT 84604
Mailing Address173 E 10000 SSalem, UT 84653-9253
Phone(801) 226-4600
Sole ProprietorNo
Enumeration DateApril 15, 2016
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedOctober 20, 2023
✔ NPI 1962856930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 10535183-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5600 NORTH 250 WEST, Provo, UT 84604
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Secondary Practice Location 1

Location 1750 N Freedom BlvdProvo, UT 84601-1677 · Phone (801) 373-4760 · Fax (801) 373-0639

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVERI DUNN
Social Worker (Clinical)
5600 NORTH 250 WEST
PROVO, UT 84604
Utah County (801) 226-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Tycksen's NPI number?

The NPI number for Brent Tycksen is 1962856930. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Brent Tycksen located?

Brent Tycksen practices at 5600 North 250 West, Provo, UT 84604. The listed phone number is (801) 226-4600.

What is Brent Tycksen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Brent Tycksen was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.