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Lisa Rae Chatelain , LSAC

Social Worker - Clinical β€’ Holladay, UT

Active NPI 1629375787 Individual Practitioner Female Practitioner
Practice location in NPPES

4326 S Holladay Blvd
Holladay, UT 841242702

Call 8015415512 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4326 S Holladay Blvd

Holladay, UT 841242702

Telephone 8015415512

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Holladay and Utah

39 active clinicians are listed under Social Worker - Clinical with a practice address in Holladay, UT (5,486 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Holladay

2.6% of these 39 clinicians have the CMS telehealth indicator.

7.7% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-18
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES UT 7491770-6006
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 03, 2025

Registered at 4326 S HOLLADAY BLVD, HOLLADAY, UT 841242702 (Tel: 8015415512)

πŸ“
Updated Business Mailing Address September 03, 2025

Registered at 4326 S HOLLADAY BLVD, HOLLADAY, UT 841242702 (Tel: 8015415512)

βœ…
NPI Profile Active February 24, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 24, 2011

Registered at 5965 S 900 E, SALT LAKE CITY, UT 841211720 (Tel: 8012637100)

πŸ“
Business Mailing Address (Initial Record) February 24, 2011

Registered at 5965 S 900 E, SALT LAKE CITY, UT 841211720 (Tel: 8012637100)

πŸ‘€
Provider Name / Credentials (Initial Record) February 24, 2011

Recorded as LISA CHATELAIN, LSAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2011

Counselor (license number reported to NPPES: UT 7491770-6006)

🟒
Initial NPI Registration & Enumeration February 24, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629375787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2011
Last Update: September 18, 2025
Sole Proprietor: No

Mailing Address

4326 S Holladay Blvd

Holladay, UT 841242702

Phone: 8015415512

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.