Alexander Carbon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13689033-3502 Issued in UT

Practice address

352 S Denver St Ste 350
Salt Lake City, UT 84111-3059

Phone

(801) 521-4227

Fax

(801) 359-0777

NPI assigned

Feb 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1144086208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 TYLER AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032164",
            "telephone_number": "404-661-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S DENVER ST STE 350",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113059",
            "telephone_number": "801-521-4227",
            "fax_number": "801-359-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBON",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13689033-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13689033-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heloisa A Caputo
• Jesus Alejandro Caraballo
• Marc A. Caragea, DO
• Carlo Galang Caranto
• Edwin M. Caravati, MD
• Clare Julian Stephanie Carbone, LCSW
• Matt Lawrence Carbone
• Paul Sean Carbone, MD
• Lanieline Tapang Carbungco
• Mariah Celeste Card

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, 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 Feb 26, 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.