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

Lucretia Stallings

Individual provider Clinical Social Worker · NPI 1366940066

Lucretia Stallings is a Clinical Social Worker in Bountiful, Utah. Graduated from University of Utah School of Medicine in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
5
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2018

Practice location Address checks out

415 Medical Dr Ste 100
Bountiful, UT 84010-4946
Phone: (801) 683-1062
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 12358017-3501 (UT)

Record details

NPI number1366940066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2018
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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