Individual provider Active NPI

Allison Christa Klepzig, LCSW

  • Clinical Social Worker
  • Woods Cross, UT
National Provider Identifier
1063299055
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12656582-3501 Issued in UT
Practice address
1576 S 500 W
Woods Cross, UT 84010-7433
Phone
(801) 406-9002
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12656582-3502 UT
Clinical Social Worker 1041C0700X 12656582-3501 UT Primary

Addresses

Primary practice location

1576 S 500 W
Woods Cross, UT 84010-7433

Mailing address

2250 N 2300 E
Layton, UT 84040-8080
Phone (419) 303-8419

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
12656582-3502UTMDSocial Worker
12656582-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1063299055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N 2300 E",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840408080",
            "telephone_number": "419-303-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 S 500 W",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840107433",
            "telephone_number": "801-406-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPZIG",
        "first_name": "ALLISON",
        "middle_name": "CHRISTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "12656582-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12656582-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woods Cross, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.