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

Micah J Bulloch, LCSW

Individual provider Clinical Social Worker · NPI 1679082952

Micah J Bulloch, LCSW is a Clinical Social Worker in Cedar City, Utah. Graduated from University of Utah School of Medicine in 2018, 8 years ago. Practices with Roots Counseling and Assessments, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho, Texas and Utah.

Years since qualifying
8
Trained at
University of Utah School of Medicine
Licensed in
ID, TX, UT
In the registry since
2017
Specialties on file
4
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

245 E 680 S
Cedar City, UT 84720-3593
Phone: (435) 867-7654
Fax: (435) 867-7699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8765778-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 107800 (TX)
Case Manager/Care Coordinator Taxonomy 171M00000X (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8371889 (ID)

Record details

NPI number1679082952
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 29, 2017
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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 2018 (8 years in practice)
Group practice Roots Counseling And Assessments — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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