Healthcare Provider Details

I. General information

NPI: 1992369250
Provider Name (Legal Business Name): CLAUDIA DUARTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9660 S 1300 E
SANDY UT
84094-3762
US

IV. Provider business mailing address

9660 S 1300 E
SANDY UT
84094-3762
US

V. Phone/Fax

Practice location:
  • Phone: 801-501-4555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12830907-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: