Eja Paulk
Individual provider Active NPI Clinical Social Worker · Orem, UT
NPI 1508588237 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1508588237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 935 S Orem Blvd
Orem, UT 84058-5011 - Phone
- (801) 062-3677
- NPI assigned
- Sep 19, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
935 S Orem Blvd
Orem, UT 84058-5011
Mailing address
1955 N 550 W Apt 401
Provo, UT 84604-1440
Phone (801) 916-4718
Other names
- Eja Braithwaite
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. 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.