Individual provider Active NPI

Holly I Grayson, LCSW

  • Clinical Social Worker
  • Farmington, UT
National Provider Identifier
1992068886
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7685407-3502 Issued in UT
Practice address
891 N. Sharpshooter Dr.
Farmington, UT 84025-2699
Phone
(801) 725-9594
NPI assigned
Jun 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 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 7685407-3502 UT Primary

Addresses

Primary practice location

891 N. Sharpshooter Dr.
Farmington, UT 84025-2699

Mailing address

891 Sharpshooter Dr
Farmington, UT 84025-2699
Phone (801) 725-9594

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
I20140707000082 UT Practitioner - Clinical Social Worker 4385869726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

699 E S Temple
Suite 201G
Salt Lake City, UT 84102-4252
Phone (801) 725-8910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7685407-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Healing Therapies CurrentSince Sep 1, 2018 Accepting new patients

Locations

699 E South Temple
Ste 201G
Salt Lake City, UT 84102
Phone (801) 725-8910

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": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1992068886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 SHARPSHOOTER DR",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252699",
            "telephone_number": "801-725-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 N. SHARPSHOOTER DR.",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252699",
            "telephone_number": "801-725-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "HOLLY",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7685407-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

Verify at the official NPI Registry.