Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Cragun, LCSW PLLC

Organization Clinical Social Worker · NPI 1073268470

Derek Cragun, LCSW PLLC is a Clinical Social Worker in Salt Lake City, Utah. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

169 E Kelsey Ave
Salt Lake City, UT 84111-4508
Phone: (801) 875-7534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1073268470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Cragun — Owner · (801) 875-7534
Other names Derek Cragun, Lcsw
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022
Mailing address169 E Kelsey Ave, Salt Lake City, UT 84111-4508

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