Wide Mind Wellness, LLC
NPI 1598242893 · Clinical Social Worker · South Jordan, UT
Wide Mind Wellness, LLC is a Clinical Social Worker organization in South Jordan, UT (NPI 1598242893).
Provider details
- NPI number
- 1598242893
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lateisha Golub, Lcsw(801) 520-5749
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Additional practice locations (1)
- 8728 S 120 ESandy, UT 84070-1526Phone: (801) 520-5749
Registry dates
- Enumerated
- 2018-07-19
- Last updated
- 2022-12-27
- Certified
- 2022-12-27
Frequently asked questions
- What is Wide Mind Wellness, LLC's NPI number?
- Wide Mind Wellness, LLC's National Provider Identifier (NPI) is 1598242893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wide Mind Wellness, LLC?
- Wide Mind Wellness, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Wide Mind Wellness, LLC located?
- Wide Mind Wellness, LLC's practice location on file with NPPES is 11058 S Sunup Way, South Jordan, UT 84009-7720.
- What is Wide Mind Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wide Mind Wellness, LLC is (801) 520-5749.
- Who is the authorized official for Wide Mind Wellness, LLC?
- The authorized official listed on Wide Mind Wellness, LLC's NPPES record is Lateisha Golub, Lcsw. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wide Mind Wellness, LLC's NPI active?
- Yes — Wide Mind Wellness, LLC's NPI (1598242893) is active in the NPPES registry as of the last update on 2022-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.