Brady Clegg, CSW
Social Worker, Clinical in Orem, UT. Individual provider (NPI-1).
NPI number1407489271
StatusActive
Last updated in NPPESFeb 19, 2020
Details
- NPI
- 1407489271
- Entity type
- Individual (NPI-1)
- Name
- Brady Clegg
- Credential
- CSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2020
- Certification date
- Feb 19, 2020
- Last updated
- Feb 19, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 11197724-3502 | UT | Yes |
Practice location
870 W Center StOrem, UT 84057-5202
Phone 801-426-8800
Mailing address
870 W Center StOrem, UT 84057-5202
Phone 385-201-4420
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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