Healthcare Provider Details

I. General information

NPI: 1134089006
Provider Name (Legal Business Name): LENA FLEMING CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 S 1040 W
PAYSON UT
84651-4614
US

IV. Provider business mailing address

845 HILLSIDE LN
SALEM UT
84653-5546
US

V. Phone/Fax

Practice location:
  • Phone: 801-609-2448
  • Fax: 801-609-2447
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14234172-3502
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: