=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164362943
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH A CASEY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/31/2026
-----------------------------------------------------
Last Update Date | 03/31/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 W BELLWOOD LN
-----------------------------------------------------
City | SALT LAKE CITY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84123-4494
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-520-3416
-----------------------------------------------------
Fax | 801-520-3416
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10467 S OQUIRRH LAKE RD
-----------------------------------------------------
City | SOUTH JORDAN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84009-5709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-928-1906
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------