Active NPI
Elizabeth Stocking
- Clinical Social Worker
- Saratoga Springs, UT
National Provider Identifier
1174199061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12966616-3502
- Practice address
- 104 W Medical Dr Ste 1
Saratoga Springs, UT 84045-3191 - Phone
- (801) 955-3600
- Fax
- (801) 955-3600
- NPI assigned
- Jun 1, 2021
- 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 | LMSW-40819 | ID | |
| Clinical Social Worker | 1041C0700X | 12966616-3502 | UT | Primary |
Addresses
Primary practice location
104 W Medical Dr Ste 1
Saratoga Springs, UT 84045-3191
Mailing address
104 W Medical Dr Ste 1
Saratoga Springs, UT 84045-3191
Phone (801) 955-3600
Other practice location 1
17 N Merchant St
American Fork, UT 84003-1601
Phone (801) 701-0348
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 |
|---|---|---|---|
| LMSW-40819 | ID | MD | Clinical Social Worker |
| 12966616-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Peace Counseling of Utah | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1174199061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W MEDICAL DR STE 1",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840453191",
"telephone_number": "801-955-3600",
"fax_number": "801-955-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W MEDICAL DR STE 1",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840453191",
"telephone_number": "801-955-3600",
"fax_number": "801-955-3600"
}
],
"practiceLocations": [
{
"address_1": "17 N Merchant St",
"address_purpose": "LOCATION",
"city": "American Fork",
"state": "UT",
"postal_code": "840031601",
"country_code": "US",
"telephone_number": "801-701-0348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOCKING",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LMSW-40819",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12966616-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.