OrganizationActive
Illuminate and Evolve Therapy
NPI 1932868528 · Clinical Social Worker · Salt Lake City, UT
Provider details
- NPI number
- 1932868528
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mona Lisa Chavez Esqueda, Owner/Operator(801) 633-6579
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3435 S Brook View Ln
Salt Lake City, UT 84106-1593
Phone: (801) 633-6579
Street-level locationGet directions
Mailing address
3435 S Brook View Ln
Salt Lake City, UT 84106-1593
Registry dates
- Enumerated
- 2021-12-11
- Last updated
- 2021-12-11
- Certified
- 2021-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.