Active NPI
Miranda West, CSW
- Clinical Social Worker
- Orem, UT
National Provider Identifier
1679312045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13986691-3501
- Practice address
- 388 W Center St
Orem, UT 84057-4659 - Phone
- (801) 960-3131
- Fax
- (800) 785-2607
- NPI assigned
- May 23, 2024
- Last updated
- Jul 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13986691-3501 | UT | Primary |
Addresses
Primary practice location
388 W Center St
Orem, UT 84057-4659
Mailing address
3651 N 100 E Ste 375
Provo, UT 84604-4511
Phone (801) 645-1236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13986691-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etherios, PLLC | Clinical | Current | Accepting new patients |
Locations
388 W Center St
Orem, UT 84057
Phone (801) 449-1365
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Provo, UT
- NPI 1790689073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1679312045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 N 100 E STE 375",
"city": "PROVO",
"state": "UT",
"postal_code": "846044511",
"telephone_number": "801-645-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 W CENTER ST",
"city": "OREM",
"state": "UT",
"postal_code": "840574659",
"telephone_number": "801-960-3131",
"fax_number": "800-785-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "MIRANDA",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-23",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "13986691-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.