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

Holly Michelle Mickelson

Individual provider Clinical Social Worker · NPI 1407735277

Holly Michelle Mickelson is a Clinical Social Worker in Roosevelt, Utah. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

290 W 800 S
Roosevelt, UT 84066
Phone: (435) 725-6300
Fax: (435) 725-6325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence STUDENT (UT)

Record details

NPI number1407735277
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 20, 2025

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