Individual provider Active NPI

Alison Marrelli, LCSW

  • Clinical Social Worker
  • Price, UT
National Provider Identifier
1306388574
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
76896703501 Issued in UT
Practice address
330 N 700 E
Price, UT 84501-2702
Phone
(435) 650-9954
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shane D Gagon MD, PC 9 clinicians
Four Corners Community Behavioral Health Inc 21 clinicians

Practice addresses (Care Compare)

377 No Fairgrounds Rd
Gagon Family Practice
Price, UT 84501-4211
Phone (435) 613-2200

575 E 100
Price, UT 84501-3102
Phone (435) 637-2358

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
I20220628000201 UT Practitioner - Clinical Social Worker 0446639058 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76896703501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Four Corners Community Behavioral Health Inc CurrentSince Apr 6, 2024 Accepting new patients
Shane D Gagon MD, PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

575 E 1st S
Price, UT 84501
Phone (435) 637-2358

377 N Fairgrounds Rd
Price, UT 84501
Phone (435) 613-2200

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 76896703501 UT Primary

Addresses

NPPES NPI Registry

Primary practice location

330 N 700 E
Price, UT 84501-2702

Mailing address

330 N 700 E
Price, UT 84501-2702

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2016.

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1306388574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N 700 E",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N 700 E",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012702",
            "telephone_number": "435-650-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRELLI",
        "first_name": "ALISON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "76896703501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.