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

Michaela Sofia Higashiyama, LCSW

Individual provider Clinical Social Worker · NPI 1629806955

Michaela Sofia Higashiyama, LCSW is a Clinical Social Worker in Farr West, Utah. Qualified in 2022, 4 years ago. Practices with Revere Health PC, a 410-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Montana and Utah.

Years since qualifying
4
Licensed in
MT, UT
In the registry since
2024
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.

See every abbreviation used in this directory →

Practice location Address checks out

2850 N 2000 W Ste 101
Farr West, UT 84404-9230
Phone: (801) 528-5095
Fax: (801) 528-5094
Show map & directions

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

Additional practice locations (2)

  • 1205 1st Ave Nw, Great Falls, MT 59404-2202 — (801) 600-5774
  • 2850 N 2000 W Ste 201, Farr West, UT 84404-9230 — (801) 866-0170

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14235706-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence BBH-LCSW-LIC-72295 (MT)

Record details

NPI number1629806955
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 26, 2024
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Farr West