Katrina M Gardner, LCSW
Individual provider Active NPI Clinical Social Worker · Cedar Hills, UT
NPI 1992591440 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1992591440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11544546-3501 (UT)
- Practice address
- 4457 W Bridgestone Dr
Cedar Hills, UT 84062-7723 - Phone
- (305) 772-4159
- Fax
- (305) 772-4159
- NPI assigned
- Apr 18, 2025
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11544546-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11544546-3501 | UT | Yes |
Addresses
Primary practice location
4457 W Bridgestone Dr
Cedar Hills, UT 84062-7723
Mailing address
165 S 1000 E
Salt Lake City, UT 84102-1402
Phone (305) 772-4159
Other providers in Cedar Hills, UT
- Randy James Cox
- Elizabeth N Drew
- James Druce
- Evelyn Louise Frandsen
- Claire Funk
- Theodore Gerun
- Alex C Gries
- Christina Natalie Gunther
- Katie Lynn Harris
- Health Watch Services Dba Caing Hands
All providers in Cedar Hills, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. 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.