Healthcare Provider Details

I. General information

NPI: 1386166759
Provider Name (Legal Business Name): ALEXIA CAMPBELL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIA MASSEY LCSW

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

388 W CENTER ST
OREM UT
84057-4659
US

IV. Provider business mailing address

358 S 900 W
AMERICAN FORK UT
84003-5647
US

V. Phone/Fax

Practice location:
  • Phone: 801-449-1365
  • Fax:
Mailing address:
  • Phone: 909-273-5060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10382235-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: