Healthcare Provider Details

I. General information

NPI: 1710808597
Provider Name (Legal Business Name): CHARRI BRUMMER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 E GLACIER VIEW DR
SANDY UT
84092-6700
US

IV. Provider business mailing address

2026 E GLACIER VIEW DR
SANDY UT
84092-6700
US

V. Phone/Fax

Practice location:
  • Phone: 801-809-9229
  • Fax:
Mailing address:
  • Phone: 801-809-9229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number322053-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: