NPIMap

Organization Active NPI

Shrinkster, LLC

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1003088691
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1347223501 Issued in UT
Legal business name
SHRINKSTER, LLC
Practice address
860 E 4500 S Ste 302
Salt Lake City, UT 84107-3018
Phone
(801) 685-9600
Fax
(801) 268-3777
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Roderick V. Johnson, LCSW
Title
Owner
Phone
(801) 685-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1347223501 UT Primary

Addresses

Primary practice location

860 E 4500 S Ste 302
Salt Lake City, UT 84107-3018

Mailing address

860 E 4500 S Ste 302
Salt Lake City, UT 84107-3018
Phone (801) 685-9600

National Provider Directory

National Provider Directory

Locations

185 N Main St
Ste 601
Tooele, UT 84074
Phone (435) 882-2207

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1003088691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E 4500 S STE 302",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073018",
            "telephone_number": "801-685-9600",
            "fax_number": "801-268-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E 4500 S STE 302",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073018",
            "telephone_number": "801-685-9600",
            "fax_number": "801-268-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINKSTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-685-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1347223501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.