IndividualActive
Matthew Nisson
NPI 1003249418 · Clinical Social Worker · Salt Lake City, UT
Provider details
- NPI number
- 1003249418
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5965 S 900 E
Salt Lake City, UT 84121-1720
Phone: (801) 263-7100
Approximate (ZIP-level) locationGet directions
Mailing address
5965 S 900 E
Salt Lake City, UT 84121-1720
Registry dates
- Enumerated
- 2013-08-21
- Last updated
- 2017-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.