Courtney Archer
Individual provider Active NPI Clinical Social Worker · South Jordan, UT
NPI 1366095218 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1366095218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 5817 Sunny Stone Cir
South Jordan, UT 84095-8077 - Phone
- (801) 419-3192
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bingham Creek Counseling, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
5817 Sunny Stone Cir
South Jordan, UT 84095-8077
Mailing address
5817 Sunny Stone Cir
South Jordan, UT 84095-8077
Phone (801) 419-3192
Other providers in South Jordan, UT
- Apple Contact Lens Center Inc.
- Crystal Jean Applegate
- Apta Health
- Oscar Alfredo Aquino
- Gabriela Aragon
- Nikki Patricia Arnold Moon
- Lindsay A Arslanian
- Britnei Artz
- Annalyssa L. Arvizu
- Trent Ashby
All providers in South Jordan, 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 Mar 14, 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.