Active NPI
Bethany McAvoy, CSW
- Social Worker
- Provo, UT
National Provider Identifier
1346001815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7453773-3502
- Practice address
- 3549 N University Ave Ste 200
Provo, UT 84604-4417 - Phone
- (801) 377-2014
- NPI assigned
- Jan 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7453773-3502 | UT | Primary |
Addresses
Primary practice location
3549 N University Ave Ste 200
Provo, UT 84604-4417
Mailing address
1904 Laguna Vista Dr
Orem, UT 84058-7508
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7453773-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1346001815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 LAGUNA VISTA DR",
"city": "OREM",
"state": "UT",
"postal_code": "840587508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3549 N UNIVERSITY AVE STE 200",
"city": "PROVO",
"state": "UT",
"postal_code": "846044417",
"telephone_number": "801-377-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCAVOY",
"first_name": "BETHANY",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "7453773-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.