Healthcare Provider Details

I. General information

NPI: 1942874128
Provider Name (Legal Business Name): ALONDRA CARDIEL CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 S 690 E
HYRUM UT
84319-1788
US

IV. Provider business mailing address

571 S 690 E
HYRUM UT
84319-1788
US

V. Phone/Fax

Practice location:
  • Phone: 801-210-1819
  • Fax:
Mailing address:
  • Phone: 801-210-1819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13970437-3502
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: