NPI 1790555985 · live from the CMS NPI Registry
Mario Abreu
Social Worker, Clinical in Roy, UT. National Provider Identifier 1790555985, active.
NPI record
| NPI | 1790555985 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1858 W 5150 S, Roy, UT 84067 |
| Practice phone | 801-255-5131 |
| Mailing address | 6013 S Redwood Rd, Taylorsville, UT 84123 |
| Enumerated | January 8, 2024 |
| Last updated | January 8, 2024 |
| 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.