Rachel Pody Allen, CSW

Individual provider Active NPI Clinical Social Worker · Bountiful, UT

NPI 1982010187 · NPPES record last updated Jul 8, 2014

Key facts

NPI
1982010187
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
8634719-3502 (UT)
Practice address
1325 N Main St
Bountiful, UT 84010-6089
Phone
(801) 436-7117
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8634719-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar and Sage Therapy LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8634719-3502 UT Yes

Addresses

Primary practice location

1325 N Main St
Bountiful, UT 84010-6089

Mailing address

1325 N Main St
Bountiful, UT 84010-6089
Phone (801) 436-7117

Other providers in Bountiful, UT

All providers in Bountiful, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.