Mettalise Bracht-Bedell
Individual provider Active NPI Clinical Social Worker · Millcreek, UT
NPI 1538092812 · NPPES record last updated Jun 5, 2026
Key facts
- NPI
- 1538092812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 14292009-3502 (UT)
- Practice address
- 4578 S Highland Dr Ste 350
Millcreek, UT 84117-4221 - Phone
- (801) 906-8520
- NPI assigned
- Jun 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14292009-3502 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 14292009-3502 | UT | Yes |
Addresses
Primary practice location
4578 S Highland Dr Ste 350
Millcreek, UT 84117-4221
Mailing address
4578 S Highland Dr Ste 350
Millcreek, UT 84117-4221
Phone (801) 906-8520
Other providers in Millcreek, UT
- Elizabeth Bosen
- Sheri Bowden
- Chloe Aileen Bowen
- Rebecca Bowles
- Abigail Donham Boyer
- Bright Horizons Recovery Home LLC
- Hannah Brodine Watts
- Samuel Brower
- Tatiana Christina Brown
- Bunnell & Vierig LLC
All providers in Millcreek, 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 Jun 5, 2026. 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.