MEDICARE: THRIVE ON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1578335311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE ON

Provider Business Mailing Address
First Line	:	376 E 2ND AVE APT 4
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-3188
Country	:	US
Telephone Number	:	503-758-5177
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 S 1100 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1508
Country	:	US
Telephone Number	:	503-758-5177
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELISE M SCRIBNER
Credential	:
Telephone Number	:	503-758-5177

Provider Enumeration Date	:	10/25/2023
Last Update Date	:	10/25/2023

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Directions to “THRIVE ON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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