Individual provider Active NPI

Mia Norma Chard, CSW

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1053790220
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2036 Lincoln Ave Ste 103B
Ogden, UT 84401-6525
Phone
(801) 719-7737
NPI assigned
May 21, 2015
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2036 Lincoln Ave Ste 103B
Ogden, UT 84401-6525

Mailing address

2036 Lincoln Ave Ste 103B
Ogden, UT 84401-6525
Phone (801) 719-7737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020002334 UT Practitioner - Clinical Social Worker 3678061926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2036 Lincoln Ave
Suite 102
Ogden, UT 84401-0430

475 N 100
Wellsville, UT 84339-9813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Preventative Health PLLC CurrentSince Sep 1, 2025 Accepting new patients
Empowering Relief Counseling, PLLC Clinical PastSince Jun 25, 2017 Accepting new patients

Locations

64 E Center St
Logan, UT 84321

5802 S 900 E
Murray, UT 84121
Phone (385) 210-6253

2036 Lincoln Ave
Ste 102
Ogden, UT 84401
Phone (385) 502-2419

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1053790220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 LINCOLN AVE STE 103B",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016525",
            "telephone_number": "801-719-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 LINCOLN AVE STE 103B",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016525",
            "telephone_number": "801-719-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARD",
        "first_name": "MIA",
        "middle_name": "NORMA",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.