Active NPI
Elizabeth D. Pezoa, LCSW, LPCC
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1528263704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW22323
- Practice address
- PO Box 65737
Salt Lake City, UT 84165-0737 - Phone
- (800) 930-0803
- NPI assigned
- Jun 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC817 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW22323 | CA | Primary |
Addresses
Primary practice location
PO Box 65737
Salt Lake City, UT 84165-0737
Mailing address
PO Box 65737
Salt Lake City, UT 84165-0737
Phone (800) 930-0803
Other names 1
- Ms. Elizabeth D. Pezoa
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC817 | CA | MD | Professional Counselor |
| LCSW22323 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Talk Therapy Center | Professional | Past | Accepting new patients |
| Stephen M Pumphrey Licensed Clinical Social Workers Inc | Clinical | Past | Accepting new patients |
| Center for New Directions, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Laguna Hills, CA
- NPI 1578121190
-
dba Talk Therapy Center
- Marriage & Family Therapist
- Riverside, CA
- NPI 1174089411
Professional
-
- Clinical Social Worker
- Laguna Hills, CA
- NPI 1386862969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1528263704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65737",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841650737",
"telephone_number": "800-930-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 65737",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841650737",
"telephone_number": "800-930-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEZOA",
"first_name": "ELIZABETH",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "LCSW, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC817",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW22323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "PEZOA",
"middle_name": "D.",
"prefix": "MS.",
"credential": "LCSW, LPCC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.