Brock B Alder, LCSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

139698-3501 Issued in UT

Practice address

655 E 1300 N
Logan, UT 84341-2570

Phone

(435) 792-6500

NPI assigned

Nov 2, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LDS Family Services

  dba LDS Family Services UT Logan Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logan, UT
  • NPI 1801994132
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689753774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 1300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412570",
            "telephone_number": "435-792-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 1300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412570",
            "telephone_number": "435-792-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 E 400 S",
            "address_purpose": "LOCATION",
            "city": "Preston",
            "state": "ID",
            "postal_code": "832635422",
            "country_code": "US",
            "telephone_number": "435-752-5302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDER",
        "first_name": "BROCK",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "139698-3501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Swain Aguilar, RD, CDE
• Jon W Ahlstrom, MD
• Sherrie Ruth Ainsworth, APRN - NNP
• Sandra Omoye Akhareyi
• Albright Clinics, LLC
• Savannah Alder, FNP
• Ahmed Alhafid
• Brianna Marie Allen, MS
• Brieanna Allen, OTR/L
• Brighton Ketts Allen, LCSW

• Addiction (Substance Use Disorder) Counselor in Logan, UT
• Providers in Logan, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.