Misty Tae Ungricht, MSW, CSW is a
Social Worker - Clinical based in Salt Lake City, Utah. Misty Tae Ungricht is licensed to practice in Utah (license number 380179-3501) and her current practice location is
4460 S Highland Dr Ste 2106b, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at
(888) 949-4864.
NPI number for Misty Tae Ungricht is 1740642735 and her current mailing address is 4460 S Highland Dr Ste 2106b, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740642735.
Healthcare Provider's Profile
| Full Name | Misty Tae Ungricht |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 4460 S Highland Dr Ste 2106b, Salt Lake City, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740642735
- Provider Enumeration Date: 03/28/2016
- Last Update Date: 10/05/2020
Medical Identifiers
Medical identifiers for Misty Tae Ungricht such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740642735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | 3801793502 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 380179-3501 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Tae Ungricht is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Misty Tae Ungricht, MSW, CSW 4460 S Highland Dr Ste 2106b, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864 | Misty Tae Ungricht, MSW, CSW 4460 S Highland Dr Ste 2106b, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864 |
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