Individual provider Active NPI

Shauna Wolferts, LCSW

  • Clinical Social Worker
  • Farmington, UT
National Provider Identifier
1861373896
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13419922-3501 Issued in UT
Practice address
1361 N 1075 W Ste 11
Farmington, UT 84025-2876
Phone
(801) 655-5450
Fax
(385) 225-9327
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13419922-3501 UT Primary

Addresses

Primary practice location

1361 N 1075 W Ste 11
Farmington, UT 84025-2876

Mailing address

1433 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other names 1

  • Shauna Lee Wolferts Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251110001645 UT Practitioner - Clinical Social Worker 8527558303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1433 N 1200
Orem, UT 84057-2449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13419922-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Counseling of Utah LLC Clinical CurrentSince Sep 3, 2025 Accepting new patients

Locations

1361 N Highway 89
Ste 11
Farmington, UT 84025
Phone (801) 668-0490

1361 N 1075 W
Ste 9
Farmington, UT 84025

1361 N 1075 W
Farmington, UT 84025
Phone (385) 316-7127

1433 N 1200 W
Orem, UT 84057
Phone (801) 210-1432

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1861373896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 N 1075 W STE 11",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252876",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFERTS",
        "first_name": "SHAUNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13419922-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "WOLFERTS",
            "middle_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington, UT

Sources for this page

Verify at the official NPI Registry.