Active NPI
Elizabeth Alley, CSW
- Clinical Social Worker
- St George, UT
National Provider Identifier
1043826571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9436070-3502
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9436070-3502 | Other | UT | CERTIFIED 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9436070-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Roots Therapy LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- St George, UT
- NPI 1629839006
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.