IndividualActive
Chrystal Bracken
NPI 1700554110 · Clinical Social Worker · South Jordan, UT
Provider details
- NPI number
- 1700554110
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 13410071-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1258 W South Jordan Pkwy Ste 202
South Jordan, UT 84095-4712
Phone: (801) 255-1155
Fax: (801) 255-0281
Approximate (ZIP-level) locationGet directions
Mailing address
1258 W South Jordan Pkwy Ste 202
South Jordan, UT 84095-4712
Registry dates
- Enumerated
- 2021-08-31
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.