Individual provider · Type 1 NPI

Michaela Sofia Higashiyama, LCSW

Clinical Social Worker · Farr West, UT

NPI number 1629806955 Active

Practice location

2850 N 2000 W Ste 101
Farr West, UT 84404-9230

Call (801) 528-5095 Map

Fax (801) 528-5094

Mailing address

1055 N 500 W, Attn Credentialing
Provo, UT 84604

Other practice locations

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 and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	BBH-LCSW-LIC-72295 (MT)
Clinical Social Worker Primary	1041C0700X	14235706-3501 (UT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1629806955

Michaela Sofia Higashiyama, LCSW's National Provider Identifier is 1629806955, issued on Jul 26, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farr West, UT. The record was last updated on Jul 29, 2025.