Individual provider Active NPI

Elizabeth Alley, CSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1043826571
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9436070-3502 Issued in UT
Practice address
1664 S Dixie Dr Ste F102
St George, UT 84770-7329
Phone
(435) 767-7515
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X 9436070-3502 UT Primary

Addresses

Primary practice location

1664 S Dixie Dr Ste F102
St George, UT 84770-7329

Mailing address

2259 Mountain View Cir
St George, UT 84790-8080
Phone (801) 309-4887

Other practice location 1

1085 S Bluff St
St George, UT 84770-5245
Phone (801) 800-8142

Other identifiers 1

IdentifierTypeStateIssuer
9436070-3502OtherUTCERTIFIED SOCIAL WORKER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9436070-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Roots Therapy LLC Clinical CurrentSince Jan 28, 2024 Accepting new patients

Locations

230 N 1680 E
Ste W
St George, UT 84790
Phone (435) 767-7515

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1043826571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 MOUNTAIN VIEW CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908080",
            "telephone_number": "801-309-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE F102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707329",
            "telephone_number": "435-767-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1085 S Bluff St",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847705245",
            "country_code": "US",
            "telephone_number": "801-800-8142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "ELIZABETH",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9436070-3502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED SOCIAL WORKER LICENSE",
            "identifier": "9436070-3502",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.