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

Kaleigh Soderborg

Individual provider Clinical Social Worker · NPI 1336886811

Kaleigh Soderborg is a Clinical Social Worker in Provo, Utah. Qualified in 2023, 3 years ago. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2022

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
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 114449083502 (UT)

Record details

NPI number1336886811
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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