Healthcare Provider Details

I. General information

NPI: 1649415787
Provider Name (Legal Business Name): RACHEL ELIZABETH SHELLEY MSW, CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL ELIZABETH ARMSTRONG LCSW

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5070 DOREN DR
SOUTH OGDEN UT
84403-4256
US

IV. Provider business mailing address

5070 DOREN DR
SOUTH OGDEN UT
84403-4256
US

V. Phone/Fax

Practice location:
  • Phone: 385-505-5018
  • Fax:
Mailing address:
  • Phone: 385-505-5018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number67506793502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: