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SAMUEL ALEXANDER MENJIVAR
NPI 1043891708
Case Manager/Care Coordinator in Provo, UT

Active since April 15, 2021
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-9656 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samuel Alexander Menjivar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL ALEXANDER MENJIVAR (NPI 1043891708) is an individual case manager/care coordinator provider in Provo, Utah and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1043891708
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameSAMUEL ALEXANDER MENJIVAR
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-9656
Phone(801) 373-9656
Sole ProprietorNo
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1043891708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

750 N FREEDOM BLVD, Provo, UT 84601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE MARIE CECIL STEPHENS LCSW
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
JOEL WALLACE HANSON MD
Psychiatry & Neurology (Psychiatry)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
RANDOLPH DAY GLASSCOCK SSW
Social Worker
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
BONNIE ANGELL PARKIN SSW
Social Worker
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
THOMAS SCOTT PARKINSON RN
Registered Nurse (Psychiatric/Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SHAWNA MARIE FISHER SSW
Social Worker
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
CRAIG ALLRED BLEAK CSW
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
KATHLEEN FISHER RN
Registered Nurse (Psychiatric/Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Menjivar's NPI number?

The NPI number for Samuel Menjivar is 1043891708. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Samuel Menjivar located?

Samuel Menjivar practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-9656.

What is Samuel Menjivar's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Samuel Menjivar was last updated on April 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.