IndividualActive
Angela Mesenburg, INTERN
NPI 1093288029 · Social Worker · Slc, UT
Provider details
- NPI number
- 1093288029
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- INTERN
- Sex
- Female
- Sole proprietor
- No
- License
- 10110415-3503 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
Practice location
1020 S Main St
Slc, UT 84101-3176
Phone: (801) 539-7000
Approximate (ZIP-level) locationGet directions
Mailing address
4460 S Highland Dr
Slc, UT 84124-3543
Registry dates
- Enumerated
- 2019-01-02
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.