Alan Rushby Chidester, LCSW
Social Worker, Clinical in Layton, UT. Individual provider (NPI-1).
NPI number1386938751
StatusActive
Last updated in NPPESJun 2, 2011
Details
- NPI
- 1386938751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Alan Rushby Chidester
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2011
- Last updated
- Jun 2, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5935746-3501 | UT | Yes |
Practice location
3135 N Fairfield Rd Ste ALayton, UT 84041-8832
Phone 801-771-9099
Mailing address
1435 Vineyard CirBountiful, UT 84010-8800
Phone 801-455-4089
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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