Michelle Anklan, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11169782-3502 Issued in UT

Practice address

159 W Broadway # 200-201
Salt Lake City, UT 84101-1907

Phone

(385) 202-6104

NPI assigned

Oct 5, 2020

Last updated

Jun 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Full Progress Mental Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
  • NPI 1235878299
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1003413964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 W BROADWAY # 200-201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011907",
            "telephone_number": "385-202-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W BROADWAY # 200-201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011907",
            "telephone_number": "385-202-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKLAN",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11169782-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christen Anne Lim Aniel, RD
• Joyce Anis
• Tevita Anitoni
• Vanidy Aniya
• Scott Anjewierden, MD, MS
• Liat Ankonina, SSW
• Emily Annen
• Annies Elder Care
• Prokopis Annis, M,D.
• Samanta Anorve

• Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.