Healthcare Provider Details

I. General information

NPI: 1518438258
Provider Name (Legal Business Name): CAROLINA OJEDA SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2018
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549 25TH ST
OGDEN UT
84401-2491
US

IV. Provider business mailing address

549 25TH ST
OGDEN UT
84401-2491
US

V. Phone/Fax

Practice location:
  • Phone: 801-917-6625
  • Fax:
Mailing address:
  • Phone: 801-917-6625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12884765-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: