Millcreek Therapy Psychological Services
NPI 1033811401ActiveOrganization· Social Worker, Clinical· Millcreek, UT
Social Worker, Clinical in Millcreek, Utah, registered in NPPES in March 2023. The authorized official on file is Nancy Kimmerly, LCSW, Owner / Lcsw. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033811401 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2023 |
| Last updated in NPPES | Oct 17, 2023 |
| Certified by provider | Oct 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
Other Social Worker, Clinical providers in Millcreek
- 1649073404
- 1063123974
- 1497665285
- 1669353116
- 1114612660
- 1952959694
- 1265127716
- 1558156851
- 1205557188
- 1124853239
- 1295687333
- 1558869255