Elisabeth Sheridan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122470613501 Issued in UT

Practice address

70 N Main St Ste 103
Bountiful, UT 84010-6115

Phone

(801) 477-0127

NPI assigned

Sep 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Youth Health Associates, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Clearfield, UT
  • NPI 1578948535
  NPD (past)

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1114533759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 38TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032220",
            "telephone_number": "775-229-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N MAIN ST STE 103",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106115",
            "telephone_number": "801-477-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "ELISABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "122470613501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shared Expectations PLLC
• Tara Sharifan, PSYD
• Lisa Ann Sharp, FNP
• Brooke Sheffer
• Megan Eidenshink Shelly
• Rosemary Elin Sherlock, LCSW
• Jessica Elizabeth Sherman, PT, DPT
• Jay Glen Shields, DDS
• Russell Brent Shields, MD
• Adam Shirley

• Clinical Social Worker in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.