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BRIGHAM YOUNG
NPI 1053721399
Social Worker - Clinical in Provo, UT

Active since May 07, 2014
1190 N 900 E STE 204, PROVO, UT 84604(801) 422-7620(801) 422-0165 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brigham Young NPPES

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

BRIGHAM YOUNG (NPI 1053721399) is an individual clinical provider in Provo, Utah, licensed in Utah (138479-3501) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1053721399
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRIGHAM YOUNG
Location Address1190 N 900 E STE 204Provo, UT 84604-3536
Mailing Address1190 N 900 E Ste 204Provo, UT 84604-3536 · (801) 422-7620
Phone(801) 422-7620
Fax(801) 422-0165
Sole ProprietorYes
Enumeration DateMay 7, 2014
✔ NPI 1053721399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 138479-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1190 N 900 E STE 204, Provo, UT 84604
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Other Providers at the Same Location NPPES

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

KRISTEN KINGHORN MSWI
Student in an Organized Health Care Education/Training Program
1190 N 900 E STE 204
PROVO, UT 84604
Utah County (208) 403-5371

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 Brigham Young's NPI number?

The NPI number for Brigham Young is 1053721399. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Brigham Young located?

Brigham Young practices at 1190 N 900 E Ste 204, Provo, UT 84604. The listed phone number is (801) 422-7620.

What is Brigham Young's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Brigham Young was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.