OrganizationActive
First Watch Wellness, LLC
NPI 1245095710 · Clinical Social Worker · Draper, UT
Provider details
- NPI number
- 1245095710
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Genevieve Mannor, Executive Director(801) 707-8282
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
13867 S Bangerter Pkwy Ste 201
Draper, UT 84020-5318
Phone: (877) 225-5443
Street-level locationGet directions
Mailing address
Po Box 1078
Draper, UT 84020-1008
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.