Healthcare Provider Details

I. General information

NPI: 1467196733
Provider Name (Legal Business Name): CHERI ENGBERSON CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2022
Last Update Date: 07/21/2025
Certification Date: 04/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 EAST 300 NORTH
MOAB UT
84532
US

IV. Provider business mailing address

P.O. BOX 867
PRICE UT
84501-0867
US

V. Phone/Fax

Practice location:
  • Phone: 801-816-1801
  • Fax: 801-501-0249
Mailing address:
  • Phone: 801-816-1801
  • Fax: 801-501-0249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12516813-3501
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: