Healthcare Provider Details

I. General information

NPI: 1356206510
Provider Name (Legal Business Name): RACHAEL ANN PLUIM LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5742 ADAMS AVE PKWY STE C
WASHINGTON TERRACE UT
84405-7158
US

IV. Provider business mailing address

1498 JOHNSON WAY
KAYSVILLE UT
84037-9714
US

V. Phone/Fax

Practice location:
  • Phone: 801-698-8782
  • Fax: 385-250-3314
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11641079-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: