Individual
CASSIDY MARIE BURNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
3872 W SAGE RIM CV, SOUTH JORDAN, UT 84009-8723
(801) 455-8289
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11783784-3506
UT
1041C0700X
Clinical Social Worker
Primary
11783784-3501
UT
Other
Enumeration date
06/03/2020
Last updated
03/26/2026
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