Robert Wimmer, LCSW., MSCJA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8108830-3501 Issued in UT

Practice address

10087 S Copper Pit Cir
South Jordan, UT 84095-2443

Phone

(385) 439-3674

NPI assigned

Apr 24, 2008

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1033384672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10087 S COPPER PIT CIR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952443",
            "telephone_number": "385-439-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10087 S COPPER PIT CIR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952443",
            "telephone_number": "385-439-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW., MSCJA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8108830-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Williams, RN, BSN
• Halley Williams, MASTER ESTHETICIAN
• Jenifer J Williams, FNP-C
• Ryan Williams, DC
• Kylie Nicole Willson, AUD
• Alex Winder
• Sarah Windes, ACMHC
• Karen Kim Winegar, APRN
• Brannen Winn
• Dorothy Sue Winters, CSW

• Clinical Social Worker in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.