Nicole Burton, CSW

Individual provider Active NPI Clinical Social Worker · South Ogden, UT

NPI 1366367302 · NPPES record last updated Aug 11, 2026

Key facts

NPI
1366367302
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
14286841-3502 (UT)
Practice address
942 Chambers St Ste 14
South Ogden, UT 84403-5131
Phone
(385) 715-0233
NPI assigned
Aug 11, 2026
Sex
Unspecified or another gender identity
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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14286841-3502 UT Yes

Addresses

Primary practice location

942 Chambers St Ste 14
South Ogden, UT 84403-5131

Mailing address

446 N 3600 W
Ogden, UT 84404-9578

Other names

  • Nicole Archibald Former name

Other providers in South Ogden, UT

All providers in South Ogden, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.