Individual provider Active NPI

Holly Brassfield, LCSW RPT

  • Clinical Social Worker
  • American Fork, UT
National Provider Identifier
1326669219
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11672516-3502 Issued in UT
Practice address
233 E Main St Ste 2
American Fork, UT 84003-2403
Phone
(801) 980-1013
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 11672516-3501 UT
Clinical Social Worker 1041C0700X 11672516-3502 UT Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

233 E Main St Ste 2
American Fork, UT 84003-2403

Mailing address

233 E Main St Ste 2
American Fork, UT 84003-2403
Phone (801) 980-1013

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

LicenseStateTypeSpecialty
11672516-3501UTMDClinical Social Worker
11672516-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Arbor Counseling Current Accepting new patients

Locations

233 E Main St
Ste 2
American Fork, UT 84003
Phone (801) 210-1416

Organizations & group practices 1

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1326669219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E MAIN ST STE 2",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032403",
            "telephone_number": "801-980-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E MAIN ST STE 2",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032403",
            "telephone_number": "801-980-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSFIELD",
        "first_name": "HOLLY",
        "credential": "LCSW RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11672516-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11672516-3502",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.