NPI 1669068334 · live from the CMS NPI Registry
Bryan Manuel Acevedo
Social Worker, Clinical in Salt Lake City, UT. National Provider Identifier 1669068334, active.
NPI record
| NPI | 1669068334 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 117 W 400 S, Salt Lake City, UT 84101 |
| Practice phone | 801-428-4257 |
| Enumerated | December 17, 2020 |
| Last updated | September 29, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.