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

Carlton Mangum, SSW

Individual provider Mental Health Counselor · NPI 1194947051

Carlton Mangum, SSW is a Mental Health Counselor in St George, Utah. Qualified in 2012, 14 years ago. Practices with Southwest Center, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
14
Licensed in
UT
In the registry since
2007
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Practice location Address checks out

474 W 200 N Ste 200
St George, UT 84770-4505
Phone: (435) 634-5600
Fax: (435) 986-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6496349-6004 (UT)

Record details

NPI number1194947051
Entity typeIndividual (Type 1)
GenderMale
Credentials SSW
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southwest Center — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in St George