Andrea Carrizo Lcsw, LLC
Social Worker, Clinical in Holladay, UT. Organization (NPI-2).
NPI number1609679166
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1609679166
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrea Carrizo Lcsw, LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2025
- Certification date
- Mar 30, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2225 E Murray Holladay RdHolladay, UT 84117-5382
Phone 801-913-1974
Mailing address
308 W North Temple Apt 345Salt Lake City, UT 84103-1899
Phone 801-913-1974
Authorized official
Andrea Carrizo
Ceo
8019131974
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