Active NPI
Justin Brady
- Clinical Social Worker
- Midvale, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 75 E Fort Union Blvd Ste C151
Midvale, UT 84047-5517 - Phone
- (801) 503-6989
- NPI assigned
- Oct 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
75 E Fort Union Blvd Ste C151
Midvale, UT 84047-5517
Mailing address
7252 W Aberford Dr
West Jordan, UT 84081-7304
Phone (801) 209-4504
Other practice location 1
344 E 100 S
Suite 301
Salt Lake City, UT 84111-1700
Phone (801) 322-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211008002715 | UT | Practitioner - Clinical Social Worker | 9830597673 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1225 E Fort Union Blvd
Ste 315
Midvale, UT 84047
Phone (801) 233-4100
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
81 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 662-5700
5770 S 1500 W
Taylorsville, UT 84123
Phone (801) 265-3000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Park City, UT
- NPI 1063646917
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1053782698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7252 W ABERFORD DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840817304",
"telephone_number": "801-209-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 E FORT UNION BLVD STE C151",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840475517",
"telephone_number": "801-503-6989"
}
],
"practiceLocations": [
{
"address_1": "344 E 100 S",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841111700",
"country_code": "US",
"telephone_number": "801-322-4257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADY",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-08",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.