MEDICARE: MIND WORKS THERAPY PLLC

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

General Provider Information

NPI Number	:	1356204713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND WORKS THERAPY PLLC

Provider Business Mailing Address
First Line	:	4933 S 1500 W STE 200
Second Line	:
City	:	RIVERDALE
State	:	UT
Zip	:	84405-7738
Country	:	US
Telephone Number	:	435-237-1061
Fax Number	:

Provider Business Practice Location Address
First Line	:	4933 S 1500 W STE 200
Second Line	:
City	:	RIVERDALE
State	:	UT
Zip	:	84405-7738
Country	:	US
Telephone Number	:	435-237-1061
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER/THERAPIST
Name	:	MADELINE SMITH
Credential	:	LCSW
Telephone Number	:	435-237-1061

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

Similar Medicare Providers

1003779463 — MADELINE SMITH LCSW
Practice Location Address:

4933 S 1500 W STE 200
RIVERDALE, UT
84405-7738

Practice Phone: 435-237-1061
Practice Fax:

1528491313 — MELISSA CELAURO
Practice Location Address:

4933 S 1500 W STE 210
RIVERDALE, UT
84405-7738

Practice Phone: 801-820-6420
Practice Fax: 801-655-4954

1750742631 — GLADYS SANCHEZ
Practice Location Address:

4933 S 1500 W STE 110
RIVERDALE, UT
84405-7738

Practice Phone: 801-820-6420
Practice Fax:

1649628017 — ALEX EDDY BCBA
Practice Location Address:

4933 S 1500 W STE 210
RIVERDALE, UT
84405-7738

Practice Phone: 801-655-4950
Practice Fax:

1497287999 — JOSIE CHAMBERS RBT
Practice Location Address:

4933 S 1500 W STE 110
RIVERDALE, UT
84405-7738

Practice Phone: 801-820-6420
Practice Fax:

1720517931 — ASPEN BULLARD RBT
Practice Location Address:

4933 S 1500 W STE 110
RIVERDALE, UT
84405-7738

Practice Phone: 801-820-6420
Practice Fax:

Directions to “MIND WORKS THERAPY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.