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WIDE MIND WELLNESS, LLC
NPI 1598242893
Social Worker - Clinical in South Jordan, UT

Active since July 19, 2018
11058 S SUNUP WAY, SOUTH JORDAN, UT 84009(801) 520-5749 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2022, Nov 2, 2018, Jul 19, 2018 (3 updates tracked since 2018).

About Wide Mind Wellness, Llc NPPES

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

WIDE MIND WELLNESS, LLC (NPI 1598242893) is a healthcare organization registered as a clinical in South Jordan, Utah and active in the NPI registry since July 2018. The organization maintains a secondary practice location in Sandy and lists Lateisha Golub, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1598242893
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWIDE MIND WELLNESS, LLC
Location Address11058 S SUNUP WAYSouth Jordan, UT 84009-7720
Mailing Address11058 S Sunup WaySouth Jordan, UT 84009-7720 · (801) 520-5749
Phone(801) 520-5749
Organization SubpartNo
Authorized OfficialLateisha GolubLcsw · (801) 520-5749
Enumeration DateJuly 19, 2018
Last NPPES UpdateDecember 27, 20223 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1598242893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
11058 S SUNUP WAY, South Jordan, UT 84009
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Secondary Practice Location 1

Location 18728 S 120 ESandy, UT 84070-1526 · Phone (801) 520-5749

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

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 Wide Mind Wellness, LLC's NPI number?

The NPI number for Wide Mind Wellness, LLC is 1598242893. It was assigned to this organization in the NPPES registry on July 19, 2018.

Where is Wide Mind Wellness, LLC located?

Wide Mind Wellness, LLC is located at 11058 S Sunup Way, South Jordan, UT 84009. The listed phone number is (801) 520-5749.

What is Wide Mind Wellness, LLC's specialty?

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

What insurance does Wide Mind Wellness, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Wide Mind Wellness, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wide Mind Wellness, LLC was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.