Organization Active NPI

Dell Center

  • Clinical Social Worker
  • Park City, UT
National Provider Identifier
1093238743
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9718974-3501 Issued in UT
Legal business name
DELL CENTER
Practice address
1912 Sidewinder Dr Ste 213
Park City, UT 84060-7257
Phone
(801) 447-2666
NPI assigned
Jul 24, 2017
Last updated
Jul 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Authorized official

Name
Jessica Dell, LCSWNPI 1548634249
Title
President
Phone
(410) 790-7119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9718974-3501 UT Primary

Addresses

Primary practice location

1912 Sidewinder Dr Ste 213
Park City, UT 84060-7257

Mailing address

8641 Ranch Club CT
Park City, UT 84098-6283
Phone (410) 790-7119

National Provider Directory

National Provider Directory

Locations

1912 Sidewinder Dr
Ste 213
Park City, UT 84060
Phone (801) 447-2666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1093238743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 RANCH CLUB CT",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986283",
            "telephone_number": "410-790-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 SIDEWINDER DR STE 213",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607257",
            "telephone_number": "801-447-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "DELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-790-7119",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9718974-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.