Active NPI
Isabelle Stavras
- Clinical Social Worker
- West Valley City, UT
National Provider Identifier
1063329258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14296219-6009
- Practice address
- 2655 S Lake Erie Dr Ste B
West Valley City, UT 84120-7351 - Phone
- (385) 441-4900
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14296219-6009 | UT | Primary |
Addresses
Primary practice location
2655 S Lake Erie Dr Ste B
West Valley City, UT 84120-7351
Mailing address
2824 E Snow Mountain Dr
Sandy, UT 84093-1945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1063329258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 E SNOW MOUNTAIN DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840931945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 S LAKE ERIE DR STE B",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841207351",
"telephone_number": "385-441-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVRAS",
"first_name": "ISABELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "14296219-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.