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

Leticia Haacke, LCSW

Individual provider Mental Health Counselor · NPI 1376822098

Leticia Haacke, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Qualified in 2012, 14 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
14
Licensed in
UT
In the registry since
2011
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5965 S 900 E
Salt Lake City, UT 84121-1720
Phone: (801) 263-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4052 W 3390 S, West Valley City, UT 84120 — (801) 964-3111

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8283071-3501 (UT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8283071-3501 (UT)

Record details

NPI number1376822098
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 11, 2011
Last updated in NPPESJuly 19, 2023
Certification dateJuly 14, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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