Active NPI
Nellie M Arrieta, L. C.S.W.
- Clinical Social Worker
- Holladay, UT
National Provider Identifier
1821026923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 134859-3501
- Practice address
- 2290 E 4500 S
Suite 110
Holladay, UT 84117-4492 - Phone
- (801) 652-8813
- Fax
- (801) 415-9525
- NPI assigned
- Jun 28, 2006
- Last updated
- Sep 4, 2012
- 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 | 134859-3501 | UT | Primary |
Addresses
Primary practice location
2290 E 4500 S
Suite 110
Holladay, UT 84117-4492
Mailing address
PO Box 520477
Salt Lake City, UT 84152-0477
Phone (801) 652-8813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13485935001001 | Other | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134859-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1821026923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520477",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841520477",
"telephone_number": "801-652-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 E 4500 S",
"address_2": "SUITE 110",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841174492",
"telephone_number": "801-652-8813",
"fax_number": "801-415-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARRIETA",
"first_name": "NELLIE",
"middle_name": "M",
"credential": "L. C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "134859-3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "13485935001001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holladay, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.