NPI 1104775824

Samantha Wilson, LCSW

Practitioner Clinical Social Worker Cottonwood Heights, UT

Practice location

Address: 3357 E 7635 S, Cottonwood Heights, UT 84121-5443
Phone: (515) 338-0027

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 12338809-3501 (UT)

Other Social Worker providers in Utah →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 7771394 (ID)

Registry record

NPI: 1104775824
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2026
Record last updated: 23 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.