Julie Kristine Chacon, LCSW
Social Worker, Clinical in Orem, UT. Individual provider (NPI-1).
NPI number1699301754
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1699301754
- Entity type
- Individual (NPI-1)
- Name
- Julie Kristine Chacon
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2020
- Certification date
- Dec 15, 2023
- Last updated
- Feb 7, 2024
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 | 8046438-3501 | UT | Yes |
Practice location
931 Industrial Park Rd Ste 20Orem, UT 84057-2803
Phone 385-269-0727
Mailing address
931 Industrial Park Rd Ste 20Orem, UT 84057-2803
Phone 385-269-0727
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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