NPI 1609108075 · live from the CMS NPI Registry
4 The Youth
Social Worker in Pleasant Grove, UT. National Provider Identifier 1609108075, active.
NPI record
| NPI | 1609108075 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 1342 W State Rd, Pleasant Grove, UT 84062 |
| Practice phone | 801-785-8870 |
| Enumerated | February 9, 2010 |
| Last updated | February 1, 2022 |
| Authorized official | Stephanie Grover, Program Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foster Care Agency | 253J00000X | 16013 (UT) |
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.