Natalie Nicole Clark
Individual provider Active NPI Clinical Social Worker · South Salt Lake, UT
NPI 1689458713 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1689458713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1831485184 (UT)
- Practice address
- 177 W Price Ave
South Salt Lake, UT 84115-4345 - Phone
- (385) 468-4500
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1831485184 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1831485184 | UT | Yes |
Addresses
Primary practice location
177 W Price Ave
South Salt Lake, UT 84115-4345
Mailing address
1124 E Browning Ave
Salt Lake City, UT 84105-2524
Phone (801) 854-8093
Other providers in South Salt Lake, UT
- Matthew Brent Checketts
- Katherine Rose Chengappa
- Sarah Jane Christensen
- Caroline Clark
- Julie Clark
- Clear Bearing PLLC
- Anne Marie Cluff
- Alan Barrett Cochrane
- Michael Colen
- Peter Bryan Conder
All providers in South Salt Lake, 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 Aug 21, 2023. 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.