NPI 1164728846 · live from the CMS NPI Registry
Andrea Abbott, LCSW
Social Worker, Clinical in South Salt Lake, UT. National Provider Identifier 1164728846, active.
NPI record
| NPI | 1164728846 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2500 S State St, South Salt Lake, UT 84115 |
| Practice phone | 385-646-5000 |
| Mailing address | Po Box 900245, Sandy, UT 84090 |
| Enumerated | January 28, 2011 |
| Last updated | May 24, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 336291-3502 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.