Individual provider Active NPI

Lara Kravet, LCSW

  • Clinical Social Worker
  • Vernal, UT
National Provider Identifier
1083231203
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11070430-3501 Issued in UT
Practice address
185 N Vernal Ave Ste 1
Vernal, UT 84078-2100
Phone
(435) 789-1305
NPI assigned
Jul 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11070430-3502 UT
Clinical Social Worker 1041C0700X 11070430-3501 UT Primary

Addresses

Primary practice location

185 N Vernal Ave Ste 1
Vernal, UT 84078-2100

Mailing address

PO Box 1081
Roosevelt, UT 84066-1081
Phone (801) 608-6517

Other identifiers 1

IdentifierTypeStateIssuer
11070430-3501OtherUTSTATE OF UTAH DEPARTMENT OF COMMERCE

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
11070430-3501UTMDClinical Social Worker
11070430-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Makana Leadership Academy Clinical PastSince Jul 1, 2020 Accepting new patients
A & H Counseling Past Accepting new patients

Organizations & group practices 2

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": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1083231203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840661081",
            "telephone_number": "801-608-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N VERNAL AVE STE 1",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782100",
            "telephone_number": "435-789-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVET",
        "first_name": "LARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11070430-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11070430-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DEPARTMENT OF COMMERCE",
            "identifier": "11070430-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.