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

Raymond Antonio Archuleta Jr., LCSW

Individual provider Clinical Social Worker · NPI 1366173171

Raymond Antonio Archuleta Jr., LCSW is a Clinical Social Worker in Draper, Utah. Qualified in 2017, 9 years ago. Practices with Numinus Wellness UT Inc, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2022
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

721 E 12200 S Ste 101
Draper, UT 84020-9723
Phone: (801) 369-8989
Fax: (801) 704-9741
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 10919338-3501 (UT)

Record details

NPI number1366173171
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Numinus Wellness Ut Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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