Healthcare Provider Details

I. General information

NPI: 1194686188
Provider Name (Legal Business Name): MELANY NOEMI CHAVEZ ARIAS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 E 1650 S
BOUNTIFUL UT
84010-4022
US

IV. Provider business mailing address

474 E 1650 S
BOUNTIFUL UT
84010-4022
US

V. Phone/Fax

Practice location:
  • Phone: 801-783-8892
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number128748-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: