Individual provider Active NPI

Carol Janette Vallejo, MSW, LCSW

  • Clinical Social Worker
  • Saint George, UT
National Provider Identifier
1295305027
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12348416-3501 Issued in UT
Practice address
254 S 1470 E Ste 201
Saint George, UT 84790-2762
Phone
(435) 932-3672
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12348416-3501 UT Primary
Clinical Social Worker 1041C0700X LCSW-22489 AZ
Clinical Social Worker 1041C0700X L15353 OR

Addresses

Primary practice location

254 S 1470 E Ste 201
Saint George, UT 84790-2762

Mailing address

139 S Junction Ave
Cave Junction, OR 97523-9006
Phone (435) 229-7805

Other practice location 1

535 E River St Ste 106
Cave Junction, OR 97523-9336
Phone (458) 592-1622

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
I20240828002721 UT Practitioner - Clinical Social Worker 0749729234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nevada School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S and S Counseling LLCGroup PAC ID 2163729823, 5 clinicians

Practice addresses (Care Compare)

254 S 1470
Suite 201
St George, UT 84790-2762
Phone (435) 932-3672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-22489AZMDClinical Social Worker
L15353ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Butterfly Wellness LLC Clinical Current Accepting new patients
S & S Counseling LLC Clinical CurrentSince Aug 23, 2024 Accepting new patients

Locations

535 E River St
Ste 106
Cave Junction, OR 97523
Phone (458) 592-1622

254 S 1470 E
Ste 201
St George, UT 84790
Phone (435) 229-1708

321 N Mall Dr
Ste E102
St George, UT 84790
Phone (435) 668-7487

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1295305027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S JUNCTION AVE",
            "city": "CAVE JUNCTION",
            "state": "OR",
            "postal_code": "975239006",
            "telephone_number": "435-229-7805",
            "fax_number": "458-592-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 S 1470 E STE 201",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902762",
            "telephone_number": "435-932-3672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E River St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Cave Junction",
            "state": "OR",
            "postal_code": "975239336",
            "country_code": "US",
            "telephone_number": "458-592-1622",
            "fax_number": "855-535-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "CAROL",
        "middle_name": "JANETTE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12348416-3501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22489",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.