Healthcare Provider Details

I. General information

NPI: 1831007921
Provider Name (Legal Business Name): TRICIA WHITAKER WINDER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1459 E 900 S
MAPLETON UT
84664-5050
US

IV. Provider business mailing address

1459 E 900 S
MAPLETON UT
84664-5050
US

V. Phone/Fax

Practice location:
  • Phone: 734-604-8239
  • Fax:
Mailing address:
  • Phone: 734-604-8239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14289352-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: