McKayla M Ross
Individual provider Active NPI Clinical Social Worker · Hyde Park, UT
NPI 1033891122 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1033891122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 13989906-3501 (UT)
- Practice address
- 338 W 300 N Ste 1
Hyde Park, UT 84318-4044 - Phone
- (435) 774-4113
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 15, 2026 through Jun 15, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13989906-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13989906-3501 | UT | Yes |
Addresses
Primary practice location
338 W 300 N Ste 1
Hyde Park, UT 84318-4044
Mailing address
338 W 300 N Ste 1
Hyde Park, UT 84318-4044
Phone (435) 774-4113
Other providers in Hyde Park, UT
- Prosper Mental Health
- Ashley Reeder Rasmussen
- Red Tyde
- Tiffany Marie Redmond
- Lindsey Elder Rhodes
- Nicole Jean Sadler
- Andrea Lee Skates
- Summit Psychiatry LLC
- Terry P. Barnes, Ms, P.C.
- David Von Niederhausern
All providers in Hyde Park, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.