NPI 1992881536 · live from the CMS NPI Registry
Troy C Andersen, LCSW
Social Worker, Clinical in Salt Lake City, UT. National Provider Identifier 1992881536, active.
NPI record
| NPI | 1992881536 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 50 N Medical Dr, Salt Lake City, UT 84132 |
| Practice phone | 801-585-6387 |
| Mailing address | Po Box 58307, Salt Lake City, UT 84158 |
| Enumerated | October 27, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 139746-3501 (UT) |
| Social Worker, Clinical primary | 1041C0700X | 139746-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.