Kristina Rae McDougal, LCSW
Individual provider Active NPI Social Worker · Ogden, UT
NPI 1578870747 · NPPES record last updated Jul 10, 2020
Key facts
- NPI
- 1578870747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 7711976-3502 (UT)
- Practice address
- 1140 36TH St
Ogden, UT 84403-2050 - Phone
- (801) 631-2380
- NPI assigned
- Sep 8, 2010
- 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 |
|---|---|---|---|
| 7711976-3502 | UT | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7711976-3502 | UT | Yes |
Addresses
Primary practice location
1140 36TH St
Ogden, UT 84403-2050
Mailing address
3055 W 4450 S
Roy, UT 84067-9559
Phone (801) 631-2380
Other names
- Kristina McDougl Hunt
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2020. 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.