Amberlee Alissa Shepherd

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

186 E 1800 N
North Logan, UT 84341-2019

Phone

(435) 213-3062

NPI assigned

Oct 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 31, 2020 through Aug 31, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Camille Webb LLC

  • Clinical Social Worker
  • North Logan, UT
  • NPI 1942164116
  NPD
• LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logan, UT
  • NPI 1801994132
  NPD (past)

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1992132971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 N 1600 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412910",
            "telephone_number": "435-881-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E 1800 N",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843412019",
            "telephone_number": "435-213-3062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 W 1400 N",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843416811",
            "country_code": "US",
            "telephone_number": "435-752-5302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "AMBERLEE",
        "middle_name": "ALISSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Rowley, M.D.
• Christopher Lee Ryan, D.O.
• Salt Lake City Vamc
• Carla Seamons
• Tyler Shearer, DC
• Sleep Healthy Utah LLC
• Candace Heather Spendlove, LMFT
• Rex Alan Spendlove, LPC
• Spine and Muscular Rehabilitation Chiropractic PLLC
• Jeremy C Starr, DO

• Clinical Social Worker in North Logan, UT
• Providers in North Logan, 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 Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.