Individual provider Active NPI

Elizabeth R Garcia-Leavitt, L.C.S.W.

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1912108515
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5696385-3501 Issued in UT
Practice address
729 S Arapeen Dr
Salt Lake City, UT 84108-1218
Phone
(801) 581-4771
Fax
(801) 581-2483
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 5696385-3501 UT Primary

Addresses

Primary practice location

729 S Arapeen Dr
Salt Lake City, UT 84108-1218

Mailing address

1331 E Luck Spring Dr
Salt Lake City, UT 84106-2947
Phone (801) 755-4574

Other names 1

  • Ms. Elizabeth R Leavitt Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address egarcialeavitt63618@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080314000246 UT Practitioner - Clinical Social Worker 5395820336 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah CurrentSince Jul 26, 2019 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
University of Utah CurrentSince Jul 26, 2019 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
Jewish Family Service PastSince May 14, 2014 Accepting new patients

Locations

729 S Arapeen Dr
Slc, UT 84108
Phone (801) 585-1341

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1912108515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E LUCK SPRING DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062947",
            "telephone_number": "801-755-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 S ARAPEEN DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081218",
            "telephone_number": "801-581-4771",
            "fax_number": "801-581-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-LEAVITT",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5696385-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egarcialeavitt63618@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LEAVITT",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.