Stephanie Rose Abeyta, LCSW
Social Worker, Clinical in Riverton, UT. Individual provider (NPI-1).
NPI number1700636768
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1700636768
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Rose Abeyta
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2024
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12784772-3501 | UT | Yes |
Other names
- Stephanie Larsen (Former Name)
Practice location
12523 S Pasture Rd Ste 250Riverton, UT 84096-4842
Phone 203-980-1796
Mailing address
7195 S 2530 WWest Jordan, UT 84084-3059
Phone 385-255-6168
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