Wellformed AI

NPI 1396250411 · live from the CMS NPI Registry

Chloe Agyin

Social Worker, Clinical in Salt Lake City, UT. National Provider Identifier 1396250411, active.

NPI record

NPI1396250411 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location4578 S Highland Dr Ste 270, Salt Lake City, UT 84117
Practice phone385-215-9337
Mailing address650 W South Temple Apt C301, Salt Lake City, UT 84104
EnumeratedDecember 12, 2017
Last updatedFebruary 24, 2026
Sole proprietorYes

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.