NPI 1164849824 · live from the CMS NPI Registry
Tequina Adams- Ballew, LCSW
Social Worker, Clinical in Taylorsville, UT. National Provider Identifier 1164849824, active.
NPI record
| NPI | 1164849824 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5663 S Redwood Rd Unit 2, Taylorsville, UT 84123 |
| Practice phone | 385-313-8305 |
| Enumerated | March 19, 2014 |
| Last updated | September 28, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Social Worker, Clinical primary | 1041C0700X | 11305655-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.