Michaela Proctor Hutchins
Individual provider Active NPI Clinical Social Worker · 84065, UT
NPI 1053076646 · NPPES record last updated Nov 8, 2021
Key facts
- NPI
- 1053076646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 3740 Market Center Dr
#1200
84065, UT 84065 - Phone
- (801) 240-9436
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | UT | Yes |
Addresses
Primary practice location
3740 Market Center Dr
#1200
84065, UT 84065
Mailing address
3740 Market Center Dr
#1200
84065, UT 84065
Phone (801) 240-9436
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.