Rebecca Allen
Individual provider Active NPI Clinical Social Worker · Provo, UT
NPI 1306573779 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1306573779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 13397956-3502 (UT)
- Practice address
- 750 N Freedom Blvd
Provo, UT 84601-1677 - Phone
- (801) 373-4760
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Utah Behavioral Health Services
Practice addresses (Care Compare)
501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone (801) 585-1575
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250321000946 | UT | Practitioner - Clinical Social Worker | 9032631833 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13397956-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Behavioral Health Special Service District | Current |
Accepting new patients | |
| University of Utah Behavioral Health Services | Current |
Accepting new patients | |
| Wasatch Behavioral Health Special Service District | Current |
Accepting new patients | |
| University of Utah Behavioral Health Services | Clinical | Current |
Accepting new patients |
Locations
750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639
750 N Freedom Blvd
Ste 300
Provo, UT 84601
Phone (801) 373-4763
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13397956-3502 | UT | Yes |
Addresses
Primary practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.