IndividualActive
Holly Mickelson
NPI 1407735277 · Clinical Social Worker · Roosevelt, UT
Provider details
- NPI number
- 1407735277
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- STUDENT (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
290 W 800 S
Roosevelt, UT 84066
Phone: (435) 725-6300
Fax: (435) 725-6325
Street-level locationGet directions
Mailing address
1140 W 500 S Ste 9
Vernal, UT 84078-2912
Registry dates
- Enumerated
- 2025-08-27
- Last updated
- 2025-08-27
- Certified
- 2025-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.