Individual ProviderAlisiah Elizabeth MccardellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6065 S Fontaine Bleu Dr, Murray, UT 84121-1822(801) 907-5710PECOS EnrollmentBased on the most recent information from CMS, provider Alisiah Elizabeth Mccardell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1841034659Provider TypeIndividualFull NameMccardell, Alisiah ElizabethCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date6/25/2024Last Updated6/25/2024Contact InformationPractice LocationPractice Address6065 S Fontaine Bleu Dr, Murray, UT 84121-1822Phone(801) 907-5710FaxUnlisted FaxMailing LocationMailing Address6065 S Fontaine Bleu Dr, Murray, UT 84121-1822PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense11297547-3501Utah