IndividualActive
Stacie Cottrell, LCSW
NPI 1063853877 · Clinical Social Worker · Millcreek, UT
Provider details
- NPI number
- 1063853877
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10875612-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Licensed Psychiatric Technician167G00000X
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
985 E 4500 S
Millcreek, UT 84117-4153
Phone: (385) 881-3398
Street-level locationGet directions
Mailing address
985 E 4500 S
Millcreek, UT 84117-4153
Additional practice locations (1)
- 2500 S State StSouth Salt Lake, UT 84115Phone: (385) 646-9905
Registry dates
- Enumerated
- 2013-07-09
- Last updated
- 2022-06-07
- Certified
- 2022-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.