Nancy Larsson Belliston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5962026-3501 Issued in UT

Practice address

560 S State St
Suite G-1
Orem, UT 84058-6354

Phone

(801) 802-8608

Fax

(801) 221-1042

NPI assigned

Feb 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Institute for Cognitive Therapy

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orem, UT
  • NPI 1285766238
  NPD (past)
• Intermountain Center for Cognitive Therapy

  • Clinical Social Worker
  • Murray, UT
  • NPI 1821129859
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1841468147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 5600 S",
            "address_2": "#318",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076174",
            "telephone_number": "801-268-2887",
            "fax_number": "801-268-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S STATE ST",
            "address_2": "SUITE G-1",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586354",
            "telephone_number": "801-802-8608",
            "fax_number": "801-221-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLISTON",
        "first_name": "NANCY",
        "middle_name": "LARSSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5962026-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylie Belknap
• Britten Ashby Bell
• Cheryl Bell
• Kylie Nicole Bell
• Belle Vie Home Health LLC
• Yamileth Beltran Medrano
• Davis Bench, BCBA
• Braian Benitez
• Alexandria Bennett
• Brooke Ellen Bennett

• Clinical Social Worker in Orem, UT
• Providers in Orem, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.