Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710549605 Individual Practitioner Male Practitioner

Zackie Kanishka

Social Worker • Orem, UT

Professional Overview & Biography Verified Profile Summary

Zackie Kanishka is a registered healthcare professional specializing in Social Worker in Orem, UT. Practice services are available at 255 S OREM BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 S Orem Blvd

Orem, UT 840583009

Telephone 3853685000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Orem, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 7.8 Yrs
Regional Practice Density
45 Specialists

Practicing in Orem, UT (1948 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-30
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License UT 9524947-3502

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sang Hsuan Huang

Student in an Organized Health Care Education/Training Program

NPI 1407644727

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 30, 2026

Registered at 255 S OREM BLVD, OREM, UT 840583009 (Tel: 3853685000)

📍
Updated Business Mailing Address July 30, 2026

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677

📍
Updated Practice Location November 09, 2025

Registered at 117 W 400 S, SALT LAKE CITY, UT 841011916 (Tel: 8014284257)

📍
Updated Business Mailing Address November 09, 2025

Registered at 117 W 400 S, SALT LAKE CITY, UT 841011916 (Tel: 8014284257)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2025

Social Worker (License #9524947-3502 in UT)

NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2019

Registered at 9964 S LANNAE DR, SANDY, UT 840944038 (Tel: 8016440527)

📍
Updated Business Mailing Address July 01, 2019

Registered at 9964 S LANNAE DR, SANDY, UT 840944038 (Tel: 8016440527)

👤
Provider Name / Credentials Updated July 01, 2019

Recorded as ZACKIE KANISHKA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration July 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710549605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2019
Last Update: July 30, 2026
Sole Proprietor: No

Mailing Address

750 N Freedom Blvd

Provo, UT 846011677

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.