Individual provider Active NPI

Tausoa Mulitalo

  • Social Worker
  • Taylorsville, UT
National Provider Identifier
1497696330
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14003946-3502 Issued in UT
Practice address
2880 W 4700 S Ste a
Taylorsville, UT 84129-2160
Phone
(801) 972-2711
NPI assigned
Apr 3, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14003946-3502 UT Primary

Addresses

Primary practice location

2880 W 4700 S Ste a
Taylorsville, UT 84129-2160

Mailing address

2880 W 4700 S Ste a
Taylorsville, UT 84129-2160
Phone (801) 972-2711

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

LicenseStateTypeSpecialty
14003946-3502UTMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1497696330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 W 4700 S STE A",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292160",
            "telephone_number": "801-972-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 W 4700 S STE A",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292160",
            "telephone_number": "801-972-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULITALO",
        "first_name": "TAUSOA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "14003946-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.