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

Blaise Maruri Mendenhall

Individual provider Case Manager/Care Coordinator · NPI 1922519404

Blaise Maruri Mendenhall is a Clinical Social Worker in Ogden, Utah. Qualified in 2023, 3 years ago. Practices with Weber Human Services, a 42-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

237 26th St
Ogden, UT 84401-3105
Phone: (801) 625-3700
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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 · Licence 134007603501 (UT)
Case Manager/Care Coordinator Taxonomy 171M00000X (UT)
Counselor Taxonomy 101Y00000X

Record details

NPI number1922519404
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 24, 2017
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address237 26th St, Ogden, UT 84401-3105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Weber Human Services — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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