Mekenzey Taylor Miles, CSW
Individual provider Active NPI Social Worker · Bluffdale, UT
NPI 1356061402 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1356061402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 14241 S Redwood Rd
Bluffdale, UT 84065-5223 - Phone
- (385) 342-2808
- NPI assigned
- Aug 30, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | UT | Yes |
Addresses
Primary practice location
14241 S Redwood Rd
Bluffdale, UT 84065-5223
Mailing address
14241 S Redwood Rd
Bluffdale, UT 84065-5223
Phone (385) 342-2808
Other providers in Bluffdale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. 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.