Hannah Ellsworth
Social Worker, Clinical in Midvale, UT. Individual provider (NPI-1).
NPI number1104747294
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1104747294
- Entity type
- Individual (NPI-1)
- Name
- Hannah Ellsworth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2026
- Certification date
- Jul 23, 2026
- Last updated
- Jul 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 13994844-3501 | UT | Yes |
Practice location
613 E Fort Union Blvd Ste 104Midvale, UT 84047-5531
Phone 801-984-1717
Mailing address
613 E Fort Union Blvd Ste 104Midvale, UT 84047-5531
Phone 801-984-1717
Other practice locations
150 S 400 E
American Fork, UT 84003-2510
American Fork, UT 84003-2510
Phone 801-984-1717
8153 S 4800 W
West Jordan, UT 84088-4703
West Jordan, UT 84088-4703
Phone 801-984-1717
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