Court Allred, CSW
Individual provider Active NPI Social Worker · SLC, UT
NPI 1033539770 · NPPES record last updated Jun 20, 2014
Key facts
- NPI
- 1033539770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 7376215-3502 (UT)
- Practice address
- 650 S Komas Dr
200
SLC, UT 84108-1215 - Phone
- (801) 581-5515
- Fax
- (801) 585-5600
- NPI assigned
- Apr 21, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7376215-3502 | UT | Yes |
Addresses
Primary practice location
650 S Komas Dr
200
SLC, UT 84108-1215
Mailing address
PO Box 413076
200
Salt Lake City, UT 84141-3076
Phone (801) 213-3900
Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.