Active NPI
Stephanie Rose Abeyta, LCSW
- Clinical Social Worker
- Riverton, UT
National Provider Identifier
1700636768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12784772-3501
- Practice address
- 12523 S Pasture Rd Ste 250
Riverton, UT 84096-4842 - Phone
- (203) 980-1796
- NPI assigned
- Mar 25, 2024
- Last updated
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12784772-3501 | UT | Primary |
Addresses
Primary practice location
12523 S Pasture Rd Ste 250
Riverton, UT 84096-4842
Mailing address
7195 S 2530 W
West Jordan, UT 84084-3059
Phone (385) 255-6168
Other names 1
- Stephanie Larsen
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12784772-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R&K Marcroft, Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1700636768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7195 S 2530 W",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840843059",
"telephone_number": "385-255-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12523 S PASTURE RD STE 250",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840964842",
"telephone_number": "203-980-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEYTA",
"first_name": "STEPHANIE",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12784772-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "LARSEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.