NPI 1700636768 · live from the CMS NPI Registry
Stephanie Rose Abeyta, LCSW
Social Worker, Clinical in Riverton, UT. National Provider Identifier 1700636768, active.
NPI record
| NPI | 1700636768 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 12523 S Pasture Rd Ste 250, Riverton, UT 84096 |
| Practice phone | 203-980-1796 |
| Mailing address | 7195 S 2530 W, West Jordan, UT 84084 |
| Enumerated | March 25, 2024 |
| Last updated | February 10, 2025 |
| Sole proprietor | Yes |
| Other names | Stephanie Larsen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 12784772-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.