MEDICARE: HANNAH FICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	14233357-3502	UT

General Provider Information

NPI Number	:	1164300794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH FICK

Provider Business Mailing Address
First Line	:	945 W 2200 S APT I302
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84321-6626
Country	:	US
Telephone Number	:	414-688-4080
Fax Number	:

Provider Business Practice Location Address
First Line	:	1812 N 2000 W
Second Line	:	SUITE 6
City	:	FARR WEST
State	:	UT
Zip	:	84404-8060
Country	:	US
Telephone Number	:	801-605-3086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	08/22/2025

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Directions to “ HANNAH FICK ” Practice Location

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