Organization Active NPI

Full Circle Healing, LLC

  • Clinical Social Worker
  • Cottonwood Heights, UT
National Provider Identifier
1649109612
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FULL CIRCLE HEALING, LLC
Practice address
6936 S Promenade Dr Ste 103
Cottonwood Heights, UT 84121-5699
Phone
(801) 638-8438
Fax
(801) 609-1443
NPI assigned
May 15, 2026
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Lisa Walker, LCSWNPI 1821521865
Title
Owner
Phone
(801) 638-8438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6936 S Promenade Dr Ste 103
Cottonwood Heights, UT 84121-5699

Mailing address

1350 E 8555 S
Sandy, UT 84093-1342
Phone (801) 638-8438

Other identifiers 1

IdentifierTypeStateIssuer
4232759MedicaidUT

National Provider Directory

National Provider Directory

Locations

6936 S Promenade Dr
Ste 103
Cottonwood Heights, UT 84121
Phone (801) 638-8438

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1649109612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E 8555 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931342",
            "telephone_number": "801-638-8438",
            "fax_number": "801-609-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 S PROMENADE DR STE 103",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215699",
            "telephone_number": "801-638-8438",
            "fax_number": "801-609-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-638-8438",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4232759",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.