Organization Active NPI

Andrea Carrizo LCSW, LLC

  • Clinical Social Worker
  • Holladay, UT
National Provider Identifier
1609679166
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANDREA CARRIZO LCSW, LLC
Practice address
2225 E Murray Holladay Rd
Holladay, UT 84117-5382
Phone
(801) 913-1974
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Andrea Carrizo, LCSWNPI 1629588082
Title
Ceo
Phone
(801) 913-1974

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2225 E Murray Holladay Rd
Holladay, UT 84117-5382

Mailing address

308 W North Temple Apt 345
Salt Lake City, UT 84103-1899
Phone (801) 913-1974

National Provider Directory

National Provider Directory

Locations

2225 E Murray Holladay Rd
Holladay, UT 84117
Phone (801) 913-1974

Practitioners & affiliated clinicians

Practitioners 1

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1609679166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W NORTH TEMPLE APT 345",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031899",
            "telephone_number": "801-913-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E MURRAY HOLLADAY RD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175382",
            "telephone_number": "801-913-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA CARRIZO LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "CARRIZO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-913-1974",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.