Healthcare Provider Details

I. General information

NPI: 1487571535
Provider Name (Legal Business Name): SABRINA SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 S FOOTHILL DR STE 240
SALT LAKE CITY UT
84109-1488
US

IV. Provider business mailing address

1111 E BRICKYARD RD APT 114
SALT LAKE CITY UT
84106-2574
US

V. Phone/Fax

Practice location:
  • Phone: 801-875-2297
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number142900293502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: