MEDICARE: EMILY E MAIO LCSW

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	12890348-3501	UT

General Provider Information

NPI Number	:	1891492823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY E MAIO LCSW

Provider Business Mailing Address
First Line	:	11667 S EUREKA WAY
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-7916
Country	:	US
Telephone Number	:	720-563-9299
Fax Number	:

Provider Business Practice Location Address
First Line	:	11075 S STATE ST STE 3
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-5165
Country	:	US
Telephone Number	:	720-563-9299
Fax Number	:

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

Provider Enumeration Date	:	02/09/2023
Last Update Date	:	01/13/2026

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Directions to “ EMILY E MAIO LCSW” Practice Location

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