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NPI Code Detail

MEDICARE: CONNIE MCCARTY

MEDICARE: CONNIE MCCARTY
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
1104100000XSocial Worker
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1841612009
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE MCCARTY
Provider Business Mailing Address
First Line : 252 W BROOKLYN AVE
Second Line :
City : SLC
State : UT
Zip : 84101-3024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 252 W BROOKLYN AVE
Second Line :
City : SLC
State : UT
Zip : 84101-3024
Country : US
Telephone Number : 801-487-3276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2014
Last Update Date : 12/14/2025

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Directions to “ CONNIE MCCARTY ” Practice Location

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