Individual provider Active NPI

Abree Mize

  • Clinical Social Worker
  • Riverdale, UT
National Provider Identifier
1083328975
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10829205-3501 Issued in UT
Practice address
5125 S 1500 W
Riverdale, UT 84405-3926
Phone
(801) 719-9410
NPI assigned
Jan 6, 2023
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10829205-3501 UT Primary

Addresses

Primary practice location

5125 S 1500 W
Riverdale, UT 84405-3926

Mailing address

4646 S 3500 W Ste 2
West Haven, UT 84401-9405
Phone (801) 719-9410

Other practice location 1

563 W 500 S Ste 440
Bountiful, UT 84010-8296
Phone (801) 252-6032

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL abreemize@boragewellnesscenter.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10829205-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Borage Wellness Center LLC Clinical CurrentSince Jan 21, 2024 Accepting new patients

Locations

5125 S 1500 W
Riverdale, UT 84405
Phone (801) 719-9410

4646 S 3500 W
Ste 2
West Haven, UT 84401
Phone (801) 719-9410

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1083328975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 S 3500 W STE 2",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019405",
            "telephone_number": "801-719-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 S 1500 W",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844053926",
            "telephone_number": "801-719-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "563 W 500 S Ste 440",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840108296",
            "country_code": "US",
            "telephone_number": "801-252-6032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZE",
        "first_name": "ABREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10829205-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abreemize@boragewellnesscenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4646 S 3500 W Ste 2",
            "city": "West Haven",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844019405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverdale, UT

Sources for this page

Verify at the official NPI Registry.