Heather Avena

Individual provider Active NPI Clinical Social Worker · Bountiful, UT

NPI 1831044684 · NPPES record last updated Feb 26, 2026

Key facts

NPI
1831044684
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
14267790-3502 (UT)
Practice address
70 N Main St Ste 104
Bountiful, UT 84010-6115
Phone
(385) 715-0233
NPI assigned
Feb 26, 2026
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
14267790-3502UTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14267790-3502 UT Yes

Addresses

Primary practice location

70 N Main St Ste 104
Bountiful, UT 84010-6115

Mailing address

328 S 725 E
Layton, UT 84041-4268
Phone (385) 715-0233

Other providers in Bountiful, UT

All providers in Bountiful, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.