Melinda Fowlks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13417425-3501 Issued in UT

Practice address

12427 S Pasture Rd Ste 104
Riverton, UT 84096-4828

Phone

(888) 949-4864

NPI assigned

Jan 5, 2022

Last updated

Aug 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Utah School of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beehive Mental Health LLC

  • Clinical Social Worker
  • Midvale, UT
  • NPI 1912787870
  Medicare reassignment NPD
• Mammoth Mental Health LLC

  dba Ellie Mental Health

  • Psychologist
  • Lehi, UT
  • NPI 1831832757

  Mental Health

  NPD

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1801557434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 S UNION PARK AVE STE 150",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476043",
            "telephone_number": "801-405-7450",
            "fax_number": "385-446-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12427 S PASTURE RD STE 104",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840964828",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3051 W Maple Loop Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840486552",
            "country_code": "US",
            "telephone_number": "801-405-7450",
            "fax_number": "385-446-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLKS",
        "first_name": "MELINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13417425-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forty-Five Degrees, P.C.
• Foundation for Family Life (FLC RR)
• Foundation for Family Life
• Foundation for Family Life (Family Life Center)
• Matthew Fowlks
• Amber Frazier
• Madison Hope Frederick
• Freeman Physical Therapy Group Inc
• Kenneth Alan Freeman, DPT
• Stephen Jake Freeman, FNP

• Clinical Social Worker in Riverton, UT
• Providers in Riverton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.