Active NPI
Arianna Amy Bradley-Roth, MSW, CSW
- Clinical Social Worker
- Provo, UT
National Provider Identifier
1932329836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3230063502
- Practice address
- 119O North 900 East
Provo, UT 84604 - Phone
- (801) 422-7620
- NPI assigned
- Apr 26, 2007
- 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 | 3230063502 | UT | Primary |
Addresses
Primary practice location
119O North 900 East
Provo, UT 84604
Mailing address
1536 W 1250 N
Provo, UT 84604-2962
Phone (801) 375-1708
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3230063502 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932329836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 W 1250 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846042962",
"telephone_number": "801-375-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119O NORTH 900 EAST",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-422-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY-ROTH",
"first_name": "ARIANNA",
"middle_name": "AMY",
"credential": "MSW, CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "3230063502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.