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CARLY KAEL NIELSEN
NPI 1831627470
Social Worker - Clinical in West Haven, UT

Active since May 26, 2017PECOS Enrolled
4646 S 3500 W STE 2, WEST HAVEN, UT 84401(801) 719-9410 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Oct 10, 2019, May 26, 2017 (3 updates tracked since 2017).

About Carly Kael Nielsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY KAEL NIELSEN (NPI 1831627470) is an individual clinical provider in West Haven, Utah, licensed in Utah (10816135-3501) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831627470
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLY KAEL NIELSEN
Location Address4646 S 3500 W STE 2West Haven, UT 84401-9405
Mailing Address4646 S 3500 W Ste 2West Haven, UT 84401-9405 · (801) 719-9410
Phone(801) 719-9410
Sole ProprietorYes
Enumeration DateMay 26, 2017
Last NPPES UpdateJanuary 20, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2025
✔ NPI 1831627470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 10816135-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 10816135-3503 (UT)
4646 S 3500 W STE 2, West Haven, UT 84401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16013 S Redwood RdTaylorsville, UT 84123-5220 · Phone (801) 255-5131 · Fax (801) 255-5131
Location 2237 26th StOgden, UT 84401 · Phone (801) 625-3700 · Fax (801) 255-5131

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Kael Nielsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA LIDIA GONZALEZ LCSW
Social Worker (Clinical)
4646 S 3500 W STE 2
WEST HAVEN, UT 84401
Weber County (801) 719-9410
BORAGE WELLNESS CENTER LLC
Social Worker (Clinical)
4646 S 3500 W STE 2
WEST HAVEN, UT 84401
Weber County (801) 719-9410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Nielsen's NPI number?

The NPI number for Carly Nielsen is 1831627470. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Carly Nielsen located?

Carly Nielsen practices at 4646 S 3500 W Ste 2, West Haven, UT 84401. The listed phone number is (801) 719-9410.

What is Carly Nielsen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carly Nielsen enrolled in Medicare?

Yes. Carly Nielsen is registered in the Medicare PECOS enrollment system.

What insurance does Carly Nielsen accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Carly Nielsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Nielsen was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.