NPI 1619459278 · live from the CMS NPI Registry
Mary Alisa
Social Worker in American Fork, UT. National Provider Identifier 1619459278, active.
NPI record
| NPI | 1619459278 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 433 S 500 E, American Fork, UT 84003 |
| Practice phone | 801-216-8000 |
| Enumerated | August 30, 2018 |
| Last updated | August 30, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, School | 1041S0200X | — (UT) |
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.