Stephanie Rose Abeyta, LCSW
Individual provider Active NPI Clinical Social Worker · Riverton, UT
NPI 1700636768 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1700636768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 12784772-3501 (UT)
- Practice address
- 12523 S Pasture Rd Ste 250
Riverton, UT 84096-4842 - Phone
- (203) 980-1796
- NPI assigned
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12784772-3501 | UT | Yes |
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
- Stephanie Larsen
Other providers in Riverton, UT
- A Courageous Life Counseling, PLLC
- A New View Counseling and Psychological Services
- A Step Ahead Psychiatry
- Aadentalcare
- Abc Case Management, Inc.
- Svetlana Abrams
- Abundant Dental Care, P.C.
- Natalie Ackerman
- Tamera Acord
- Valerie Acosta
All providers in Riverton, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.