Individual provider Active NPI

Cerissa Hayhurst, CSW, MSW, MPH

  • Social Worker
  • Midvale, UT
National Provider Identifier
1760965396
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11634353-3502 Issued in UT
Practice address
6770 S 900 E Ste 201
Midvale, UT 84047-5548
Phone
(801) 305-3171
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11634353-3502 UT Primary

Addresses

Primary practice location

6770 S 900 E Ste 201
Midvale, UT 84047-5548

Mailing address

6770 S 900 E Ste 201
Midvale, UT 84047-5548
Phone (801) 305-3171

Other practice location 1

321 E State Rd Ste 100
American Fork, UT 84003-2277
Phone (801) 305-3171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2026 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11634353-3502UTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1760965396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 S 900 E STE 201",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475548",
            "telephone_number": "801-305-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 S 900 E STE 201",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475548",
            "telephone_number": "801-305-3171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 E State Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032277",
            "country_code": "US",
            "telephone_number": "801-305-3171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYHURST",
        "first_name": "CERISSA",
        "credential": "CSW, MSW, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11634353-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.