HOLLY MICHELLE MICKELSON
NPI 1407735277
Social Worker - Clinical in Roosevelt, UT

Active since August 27, 2025
290 W 800 S, ROOSEVELT, UT 84066(435) 725-6300(435) 725-6325 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly Michelle Mickelson NPPES

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

HOLLY MICHELLE MICKELSON (NPI 1407735277) is an individual clinical provider in Roosevelt, Utah, licensed in Utah (STUDENT) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1407735277
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY MICHELLE MICKELSON
Location Address290 W 800 SRoosevelt, UT 84066
Mailing Address1140 W 500 S Ste 9Vernal, UT 84078-2912 · (435) 725-6300 · Fax (435) 725-6325
Fax(435) 725-6325
Sole ProprietorNo
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 20, 2025
NPI 1407735277 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 · STUDENT
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.

290 W 800 S, Roosevelt, UT 84066

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
290 W 800 S
ROOSEVELT, UT 84066
Case Manager/Care Coordinator
290 W 800 S
ROOSEVELT, UT 84066
Social Worker (Clinical)
290 W 800 S
ROOSEVELT, UT 84066
Social Worker (Clinical)
290 W 800 S
ROOSEVELT, UT 84066

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 Holly Mickelson's NPI number?

The NPI number for Holly Mickelson is 1407735277. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Holly Mickelson located?

Holly Mickelson practices at 290 W 800 S, Roosevelt, UT 84066. The listed phone number is (435) 725-6300.

What is Holly Mickelson'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 Holly Mickelson was last updated on August 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.