Individual provider Active NPI

Carla Sandbek, LCSW

  • Clinical Social Worker
  • Lehi, UT
National Provider Identifier
1336663228
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5522589-3501 Issued in UT
Practice address
3375 W Mayflower Way Ste a
Lehi, UT 84043-3135
Phone
(801) 331-6775
Fax
(801) 766-2010
NPI assigned
Aug 1, 2017
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5522589-3501 UT Primary

Addresses

Primary practice location

3375 W Mayflower Way Ste a
Lehi, UT 84043-3135

Mailing address

1113 E Hackamore Dr
Draper, UT 84020-8515
Phone (801) 577-3564

Other identifiers 1

IdentifierTypeStateIssuer
5522589-3501OtherUTDOPL

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
I20240605003722 UT Practitioner - Clinical Social Worker 7719429729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary F Holland MD PCGroup PAC ID 2668466350, 9 clinicians

Practice addresses (Care Compare)

375 N Main St
Suite 103
Kaysville, UT 84037-1272
Phone (801) 876-3749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5522589-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Healthcare LLC Clinical CurrentSince May 24, 2024 Accepting new patients
Gary F Holland MD PC Clinical CurrentSince May 1, 2025 Accepting new patients
Circle of Life Counseling Center Past Accepting new patients

Locations

375 N Main St
Ste 103
Kaysville, UT 84037
Phone (801) 216-4130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1336663228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E HACKAMORE DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208515",
            "telephone_number": "801-577-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 W MAYFLOWER WAY STE A",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433135",
            "telephone_number": "801-331-6775",
            "fax_number": "801-766-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBEK",
        "first_name": "CARLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5522589-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "5522589-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.