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TANNER MOFFAT
NPI 1205672227
Social Worker - Clinical in Provo, UT

Active since July 09, 2024
3210 N CANYON RD STE 204, PROVO, UT 84604(385) 204-6273 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Jul 9, 2024 (2 updates tracked since 2024).

About Tanner Moffat NPPES

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

TANNER MOFFAT (NPI 1205672227) is an individual clinical provider in Provo, Utah, licensed in Utah (14006549-3502) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1205672227
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTANNER MOFFAT
Location Address3210 N CANYON RD STE 204Provo, UT 84604-5608
Mailing Address3210 N Canyon Rd Ste 204Provo, UT 84604-5608 · (385) 204-6273
Phone(385) 204-6273
Sole ProprietorNo
Enumeration DateJuly 9, 2024
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1205672227 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 · 14006549-3502
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.
3210 N CANYON RD STE 204, Provo, UT 84604
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Other Providers at the Same Location NPPES 3

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

BOONE R CHRISTIANSON LMFT
Marriage & Family Therapist
3210 N CANYON RD STE 204
PROVO, UT 84604
Utah County (385) 241-1046
KAPRENA MOORE
Social Worker (Clinical)
3210 N CANYON RD STE 204
PROVO, UT 84604
Utah County (385) 241-1046
SHILOH MENTAL HEALTH PLLC
Social Worker (Clinical)
3210 N CANYON RD STE 204
PROVO, UT 84604
Utah County (385) 204-6273

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 Tanner Moffat's NPI number?

The NPI number for Tanner Moffat is 1205672227. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Tanner Moffat located?

Tanner Moffat practices at 3210 N Canyon Rd Ste 204, Provo, UT 84604. The listed phone number is (385) 204-6273.

What is Tanner Moffat'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 Tanner Moffat was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.