Myriam L Bardsley
Individual provider Active NPI Social Worker · Springville, UT
NPI 1972906485 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1972906485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 94072703501 (UT)
- Practice address
- 230 E 400 S
Springville, UT 84663-1922 - Phone
- (385) 325-2428
- Fax
- (801) 489-8960
- NPI assigned
- Sep 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94072703501 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Therapy LLC | Social Worker | Current |
Accepting new patients |
Locations
230 E 400 S
Ste 1
Springville, UT 84663
Phone (385) 325-2428
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 94072703501 | UT | Yes |
Addresses
Primary practice location
230 E 400 S
Springville, UT 84663-1922
Mailing address
217 E 1400 N
Mapleton, UT 84664-3853
Phone (385) 325-2428
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870285565012 | Medicaid | UT |
Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.