NPI 1679154892 · live from the CMS NPI Registry
Avery Alexander, LCSW
Social Worker, Clinical in West Jordan, UT. National Provider Identifier 1679154892, active.
NPI record
| NPI | 1679154892 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5500 W Bagley Park Rd, West Jordan, UT 84081 |
| Practice phone | 801-282-1000 |
| Mailing address | 10482 S Golden Willow Dr, Sandy, UT 84070 |
| Enumerated | April 19, 2021 |
| Last updated | February 13, 2025 |
| Sole proprietor | No |
| Other names | Avery Redd |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, Clinical primary | 1041C0700X | 11542668-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.