Michael Keith Slade, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2872 S Highland Dr
Salt Lake City, UT 84106-3147

Phone

(801) 485-8051

NPI assigned

Apr 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1003304148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 S BROOKWILLOW CV APT F",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841178030",
            "telephone_number": "801-830-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063147",
            "telephone_number": "801-485-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SL Psychology, PLLC
• Adelaide Robinson Slack, MD
• Nycholle Slack
• Sean Damian Slack, D.O
• Jamie Slade
• Jacob Stanley Slagle, MD
• Kelley Slama
• Kathleen Slaseman
• Michael Reed Slater, D.D.S.
• Suzanna Louise Slater, AGNP, MSN, RN

• All providers in Salt Lake City, UT
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.