NPI 1750908786 · live from the CMS NPI Registry
Mitchel Phil Acton, CSW
Social Worker, Clinical in South Jordan, UT. National Provider Identifier 1750908786, active.
NPI record
| NPI | 1750908786 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095 |
| Practice phone | 801-302-3801 |
| Enumerated | June 25, 2020 |
| Last updated | June 25, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 11663728-3502 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.