Erica Christine Arredondo, CSW

Individual provider Active NPI Clinical Social Worker · Pleasant Grove, UT

NPI 1780147983 · NPPES record last updated May 26, 2020

Key facts

NPI
1780147983
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
11709191-3502 (UT)
Practice address
135 W Center St
Pleasant Grove, UT 84062-2207
Phone
(801) 785-1169
NPI assigned
Apr 13, 2019
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

LicenseStateTypeSpecialty
11709191-3502UTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11709191-3502 UT Yes

Addresses

Primary practice location

135 W Center St
Pleasant Grove, UT 84062-2207

Mailing address

135 W Center St
Pleasant Grove, UT 84062-2207
Phone (801) 785-1169

Other providers in Pleasant Grove, UT

All providers in Pleasant Grove, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.