Active NPI
Carol Janette Vallejo, MSW, LCSW
- Clinical Social Worker
- Saint George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12348416-3501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-22489 | AZ | MD | Clinical Social Worker |
| L15353 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butterfly Wellness LLC | Clinical | Current | Accepting new patients |
| S & S Counseling LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- St George, UT
- NPI 1790179091
-
- Clinical Social Worker
- Cave Junction, OR
- NPI 1598623548
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.