Heidi Sarinda Hiatt

Individual provider Active NPI Clinical Social Worker · Syracuse, UT

NPI 1891313698 · NPPES record last updated Jul 8, 2020

Key facts

NPI
1891313698
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
11843703-3506 (UT)
Practice address
1747 Heritage LN Ste B101
Syracuse, UT 84075-8546
Phone
(435) 979-2651
NPI assigned
Jul 8, 2020
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
11843703-3506UTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11843703-3506 UT Yes

Addresses

Primary practice location

1747 Heritage LN Ste B101
Syracuse, UT 84075-8546

Mailing address

1747 Heritage LN Ste B101
Syracuse, UT 84075-8546
Phone (435) 979-2651

Other providers in Syracuse, UT

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

Sources for this page

Verify at the official NPI Registry.