Mindon Lee Simon, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

291842-3502 Issued in UT

Practice address

3195 S Main St Ste 180
South Salt Lake, UT 84115-3790

Phone

(801) 983-5540

Fax

(801) 983-5542

NPI assigned

May 12, 2010

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

Other names 1

• Ms. Mindon Lee Calderon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Silverado Counseling Services, LLC

  • Clinical Social Worker
  • South Salt Lake, UT
  • NPI 1154381192
  NPD

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1073831277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S STATE ST",
            "address_2": "#101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153880",
            "telephone_number": "801-983-5540",
            "fax_number": "801-983-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 S MAIN ST STE 180",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153790",
            "telephone_number": "801-983-5540",
            "fax_number": "801-983-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MINDON",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "291842-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDON",
            "last_name": "CALDERON",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roman A Shingarev, MD
• Julia Shively, CSW
• Kristi Shulsen
• Sedona Sieg, M.S.
• Silverado Counseling Services, LLC
• Simplify RX
• Edie L Sims, LMT
• Joshua Evan Sims
• Linda Singley
• Armando Wayne Slack, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.