Individual provider Active NPI

Alesia Wilson, LCSW, MSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1235357526
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
309023-3501 Issued in UT
Practice address
2220 E Murray Holladay Rd Apt 62
Salt Lake City, UT 84117-5306
Phone
(801) 834-8164
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 309023-3501 UT Primary

Addresses

Primary practice location

2220 E Murray Holladay Rd Apt 62
Salt Lake City, UT 84117-5306

Mailing address

660 South 200 East
Suite 308
Salt Lake City, UT 84111
Phone (801) 355-2846

Other practice location 1

660 South 200 East
Suite 308
Salt Lake City, UT 84111
Phone (801) 773-7060

Other practice location 2

75 E Fort Union Blvd # 101
Midvale, UT 84047-1531
Phone (801) 645-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000716 UT Practitioner - Clinical Social Worker 8729030119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Matter Therapy CurrentSince May 27, 2025 Accepting new patients
Headspace Counseling CurrentSince May 27, 2025 Accepting new patients

Locations

75 E Fort Union Blvd
#101
Midvale, UT 84047
Phone (801) 214-8755

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1235357526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 SOUTH 200 EAST",
            "address_2": "SUITE 308",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84111",
            "telephone_number": "801-355-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E MURRAY HOLLADAY RD APT 62",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175306",
            "telephone_number": "801-834-8164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 South 200 East",
            "address_2": "Suite 308",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84111",
            "country_code": "US",
            "telephone_number": "801-773-7060",
            "fax_number": "801-774-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 E Fort Union Blvd # 101",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840471531",
            "country_code": "US",
            "telephone_number": "801-645-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALESIA",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "309023-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.