Active NPI
Cerissa Hayhurst, CSW, MSW, MPH
- Social Worker
- Midvale, UT
National Provider Identifier
1760965396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11634353-3502
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11634353-3502 | UT | MD | Social 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.