Wellformed AI

NPI 1083220537 · live from the CMS NPI Registry

635 Community Health Collective

Social Worker, Clinical in Salt Lake City, UT. National Provider Identifier 1083220537, active.

NPI record

NPI1083220537 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location635 N 900 W, Salt Lake City, UT 84116
Practice phone801-824-1939
EnumeratedSeptember 21, 2020
Last updatedSeptember 21, 2020
Authorized officialEliot Sykes, Founder & Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.