Wendi Lyn Hayden

Individual provider Active NPI Clinical Social Worker · West Haven, UT

NPI 1124364013 · NPPES record last updated Oct 16, 2024

Key facts

NPI
1124364013
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
9127605-3502
Practice address
4640 S 3500 W Ste 4
West Haven, UT 84401-6522
Phone
(801) 603-4792
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Counseling PLLC Current
since Oct 20, 2024
Accepting new patients

Locations

4640 S 3500 W
Ste 4
West Haven, UT 84401
Phone (385) 551-2933

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9127605-3502 Yes

Addresses

Primary practice location

4640 S 3500 W Ste 4
West Haven, UT 84401-6522

Mailing address

4640 S 3500 W Ste 4
West Haven, UT 84401-6522
Phone (801) 603-4792

Other providers in West Haven, UT

All providers in West Haven, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.