Healthcare Provider Details

I. General information

NPI: 1710814918
Provider Name (Legal Business Name): BECKY BELNAP CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12523 S PASTURE RD STE 250
RIVERTON UT
84096-4842
US

IV. Provider business mailing address

4521 W MILFORD DR
SOUTH JORDAN UT
84009-5706
US

V. Phone/Fax

Practice location:
  • Phone: 801-796-2039
  • Fax:
Mailing address:
  • Phone: 479-659-1203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number1422091-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: