Active NPI
Braden Moulton
- Social Worker
- West Valley City, UT
National Provider Identifier
1376433193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14229375-3503
- Practice address
- 3725 W 4100 S Ste 100
West Valley City, UT 84120-6063 - Phone
- (888) 949-4864
- NPI assigned
- Jul 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14229375-3503 | UT | Primary |
Addresses
Primary practice location
3725 W 4100 S Ste 100
West Valley City, UT 84120-6063
Mailing address
3725 W 4100 S Ste 201
West Valley City, UT 84120-6490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14229375-3503 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1376433193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 W 4100 S STE 201",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841206490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 W 4100 S STE 100",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841206063",
"telephone_number": "888-949-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTON",
"first_name": "BRADEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "14229375-3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.