Bibi Menhaja Azimi
Individual provider Active NPI Social Worker · Logan, UT
NPI 1619837036 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1619837036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 170 N Main St
Logan, UT 84321-4567 - Phone
- (435) 713-1479
- Fax
- (435) 752-6962
- NPI assigned
- Nov 17, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
170 N Main St
Logan, UT 84321-4567
Mailing address
170 N Main St
Logan, UT 84321-4567
Phone (435) 713-1479
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. 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.