Active NPI
Lara Kravet, LCSW
- Clinical Social Worker
- Vernal, UT
National Provider Identifier
1083231203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11070430-3501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11070430-3501 | Other | UT | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11070430-3501 | UT | MD | Clinical Social Worker |
| 11070430-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makana Leadership Academy | Clinical | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vernal, UT
- NPI 1588417653
-
- Adolescent and Children Mental Health Clinic/Center
- Roosevelt, UT
- NPI 1467077750
Clinical
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.