Ashley Camille Allen

Individual provider Active NPI Clinical Social Worker · Draper, UT

NPI 1780172338 · NPPES record last updated Aug 15, 2023

Key facts

NPI
1780172338
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
26356 (MD)
Practice address
138 E 12300 S Ste C-493
Draper, UT 84020-7976
Phone
(801) 784-8137
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

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
26356MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Psychotherapy LLC Past
since Nov 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26356 MD Yes

Addresses

Primary practice location

138 E 12300 S Ste C-493
Draper, UT 84020-7976

Mailing address

138 E 12300 S Ste C-493
Draper, UT 84020-7976
Phone (801) 784-8137

Other providers in Draper, UT

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

Sources for this page

Verify at the official NPI Registry.