Wellformed AI

NPI 1912561473 · live from the CMS NPI Registry

Mandy Lynn Adams

Social Worker, Clinical in Spanish Fork, UT. National Provider Identifier 1912561473, active.

NPI record

NPI1912561473 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location1573 S 2120 E, Spanish Fork, UT 84660
Practice phone801-404-9654
EnumeratedApril 30, 2019
Last updatedApril 30, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X91275963502 (UT)
Social Worker, Clinical primary1041C0700X9127596-3502 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.