Healthcare Provider Details

I. General information

NPI: 1578277091
Provider Name (Legal Business Name): BRISSA NATALIA ARIAS CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 E 300 N
SPANISH FORK UT
84660-1859
US

IV. Provider business mailing address

344 E 100 S
SALT LAKE CITY UT
84111-1700
US

V. Phone/Fax

Practice location:
  • Phone: 385-549-2136
  • Fax:
Mailing address:
  • Phone: 801-428-4257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14222158-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: