Healthcare Provider Details

I. General information

NPI: 1760779193
Provider Name (Legal Business Name): LINDSAY KAYE MANNING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDAY KAYE HEWITT LCSW

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 S 100 E
RICHFIELD UT
84701-2644
US

IV. Provider business mailing address

152 N 400 W
EPHRAIM UT
84627-5549
US

V. Phone/Fax

Practice location:
  • Phone: 435-896-8236
  • Fax:
Mailing address:
  • Phone: 435-283-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number80532083501
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8053208-3501
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

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

# 1
Identifier1760779193
Identifier TypeMEDICAID
Identifier StateUT
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: