Julie Blundell, LCSW
Individual provider Active NPI Clinical Social Worker · Centerville, UT
NPI 1124557541 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124557541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5688702-3501 (UT)
- Practice address
- 1634 Lewis and Clark Dr
Centerville, UT 84014 - Phone
- (801) 856-4166
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5688702-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5688702-3501 | UT | Yes |
Addresses
Primary practice location
1634 Lewis and Clark Dr
Centerville, UT 84014
Mailing address
1634 Lewis and Clark Dr
Centerville, UT 84014-3422
Phone (801) 856-4166
Other providers in Centerville, UT
- Mary Bench
- Cameron Peter Benson
- Michael G Bergeson
- Stephanie Kay Bergeson
- Jeremiah Bailey Bitner
- Lorant Steve Bodo
- Joseph Taylor Bonham
- Alyson McKean Bown
- Brad Huffaker DDS PC
- Brandon Segura
All providers in Centerville, 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 Jul 21, 2022. 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.