NPIMap

Organization Active NPI

Embrace Clinical Services and Consulting

  • Clinical Social Worker
  • Bountiful, UT
National Provider Identifier
1417644337
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMBRACE CLINICAL SERVICES AND CONSULTING
Practice address
563 W 500 S Ste 415
Bountiful, UT 84010-8295
Phone
(385) 313-1670
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Christina Da Costa, LCSWNPI 1093201923
Title
Owner, Therapist
Phone
(801) 244-7397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

563 W 500 S Ste 415
Bountiful, UT 84010-8295

Mailing address

563 W 500 S Ste 415
Bountiful, UT 84010-8295
Phone (385) 313-1670

National Provider Directory

National Provider Directory

Locations

563 W 500 S
Ste 415
Bountiful, UT 84010
Phone (385) 313-1670

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1417644337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 W 500 S STE 415",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108295",
            "telephone_number": "385-313-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 W 500 S STE 415",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108295",
            "telephone_number": "385-313-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE CLINICAL SERVICES AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "DA COSTA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "801-244-7397",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.