Healthcare Provider Details

I. General information

NPI: 1164362943
Provider Name (Legal Business Name): SARAH A CASEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W BELLWOOD LN
SALT LAKE CITY UT
84123-4494
US

IV. Provider business mailing address

10467 S OQUIRRH LAKE RD
SOUTH JORDAN UT
84009-5709
US

V. Phone/Fax

Practice location:
  • Phone: 801-520-3416
  • Fax: 801-520-3416
Mailing address:
  • Phone: 801-928-1906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: