Active NPI
Autumn Jaah Holiday
- Clinical Social Worker
- Monument Valley, UT
National Provider Identifier
1275462368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12309988-3501
- Practice address
- 30 W Medical Dr
Monument Valley, UT 84536-7705 - Phone
- (928) 660-3373
- NPI assigned
- May 15, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12309988-3501 | UT | Primary |
Addresses
Primary practice location
30 W Medical Dr
Monument Valley, UT 84536-7705
Mailing address
30 W Medical Dr
Monument Valley, UT 84536-7705
Phone (928) 660-3373
Other practice location 1
1478 East UT-162
Montezuma Creek, UT 84534
Phone (435) 651-3700
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 |
|---|---|---|---|
| 12309988-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1275462368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MEDICAL DR",
"city": "MONUMENT VALLEY",
"state": "UT",
"postal_code": "845367705",
"telephone_number": "928-660-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W MEDICAL DR",
"city": "MONUMENT VALLEY",
"state": "UT",
"postal_code": "845367705",
"telephone_number": "928-660-3373"
}
],
"practiceLocations": [
{
"address_1": "1478 East UT-162",
"address_purpose": "LOCATION",
"city": "Montezuma Creek",
"state": "UT",
"postal_code": "84534",
"country_code": "US",
"telephone_number": "435-651-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLIDAY",
"first_name": "AUTUMN",
"middle_name": "JAAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-15",
"last_updated": "2026-05-15",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12309988-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument Valley, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.