Individual provider Active NPI

Elizabeth Kipana Walton Brummett-Thomas, L.C.S.W.

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1043569387
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11408974-3501 Issued in UT
Practice address
310 E 4500 S Ste 570
Murray, UT 84107-4239
Phone
(801) 262-9619
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 11408974-3501 UT Primary
Clinical Social Worker 1041C0700X 939 WY

Addresses

Primary practice location

310 E 4500 S Ste 570
Murray, UT 84107-4239

Mailing address

310 E 4500 S Ste 570
Murray, UT 84107-4239
Phone (801) 262-9619

Other names 1

  • Dr. Elizabeth Kipana Walton Brummett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
939WYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1043569387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 4500 S STE 570",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074239",
            "telephone_number": "801-262-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 4500 S STE 570",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074239",
            "telephone_number": "801-262-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMETT-THOMAS",
        "first_name": "ELIZABETH",
        "middle_name": "KIPANA WALTON",
        "name_prefix": "Dr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11408974-3501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BRUMMETT",
            "middle_name": "KIPANA WALTON",
            "prefix": "DR.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.