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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12784772-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
R&K Marcroft, Inc Clinical Past
since Mar 31, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Other providers in Riverton, UT

All providers in Riverton, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.