Individual provider Active NPI

Kristin Alvey, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1790091650
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
950 Issued in MT
Practice address
850 E 300 S Ste 6
Salt Lake City, UT 84102-2332
Phone
(406) 916-7186
NPI assigned
Aug 29, 2010
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 950 MT Primary

Addresses

Primary practice location

850 E 300 S Ste 6
Salt Lake City, UT 84102-2332

Mailing address

32 W 200 S # 155
Salt Lake City, UT 84101-1603
Phone (406) 916-7186

Other practice location 1

48 Medical Park Dr
Helena, MT 59601-4925
Phone (406) 465-4730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200408004595 MT Practitioner - Clinical Social Worker 5597194720 Practice locations: Helena, MT
I20230412001421 UT Practitioner - Clinical Social Worker 5597194720 Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
950MTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1790091650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W 200 S # 155",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011603",
            "telephone_number": "406-916-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E 300 S STE 6",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022332",
            "telephone_number": "406-916-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014925",
            "country_code": "US",
            "telephone_number": "406-465-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVEY",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-29",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.