Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CELESTIA LUELLA CLARK I, MSW
ActiveCELESTIA LUELLA CLARK I, MSW is a Social Worker healthcare provider located in ENTERPRISE, Utah. NPI 1912569021 is currently active in the NPPES registry. Verify at CMS.
Social Worker · ENTERPRISE, UT
Registration Details
- NPI Number
- 1912569021
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2019 (7.099928615935 yrs)
- Last Updated
- Aug 13, 2025
- Licenses
-
10628149-3501 (UT)159355 (AK)
Practice Information
- Address
-
249 S 100 E STREETENTERPRISE, UT, 847257648Browse UT providers · Browse ZIP 84725
- Phone
- 4352313657
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.