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 |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4460 S Highland Dr Ste 2106b, Salt Lake City, Utah |
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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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