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NPI 1255265161

NPI 1255265161 : ALEXA ADAMS LCSW : SOUTH SALT LAKE, UT

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General NPI Number Information
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    NPI Number           |    1255265161
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXA ADAMS LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/09/2026
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    Last Update Date     |    06/09/2026
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Provider Practice Location Address
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    Address Line         |    240 MORRIS AVE STE 400 
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    City                 |    SOUTH SALT LAKE
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    State                |    UT
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    Zip                  |    84115-3295
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    Country              |    US
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    Telephone            |    801-581-5515
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    283 S 1300 W 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84104-2325
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    10486899-3501
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    License Number State |    UT
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