Leticia Soares Tomaz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12462647-3501 Issued in UT

Practice address

5125 S 1500 W
Riverdale, UT 84405-3926

Phone

(801) 875-2892

NPI assigned

Jun 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Graceful Healing, Inc

  • Mental Health Counselor
  • Lindon, UT
  • NPI 1043909666
  NPD (past)

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1376168526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586979",
            "telephone_number": "801-875-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 S 1500 W",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844053926",
            "telephone_number": "801-875-2892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 S Orem Blvd",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840586979",
            "country_code": "US",
            "telephone_number": "801-875-2892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 W 9000 S",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840702038",
            "country_code": "US",
            "telephone_number": "801-875-2892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 N 290 W",
            "address_purpose": "LOCATION",
            "city": "Lindon",
            "state": "UT",
            "postal_code": "840425001",
            "country_code": "US",
            "telephone_number": "801-901-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMAZ",
        "first_name": "LETICIA",
        "middle_name": "SOARES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-13",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12462647-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Taylor, LMT, LE
• The Permanent Cosmetic Place
• The Phoenix Recovery & Counseling Center - Riverdale
• Lariza Tolman
• Logan Tolman
• Corinne Totter
• Dallas Tueller, BEHAVIOR TECH
• Thayne Tynsky, RBT
• Ivy Ulrich
• Utah Behavior Services

• Clinical Social Worker in Riverdale, UT
• Providers in Riverdale, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.