Lindsay Bennett, LCSW

Key facts

NPI

1104306950

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

11320560-3501 (UT)

Practice address

1896 W 9525 S
South Jordan, UT 84095-2397

Phone

(801) 842-4034

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 24, 2022.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1104306950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 W BEAMON ST",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844800",
            "telephone_number": "801-842-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 W 9525 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952397",
            "telephone_number": "801-842-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LINDSAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11320560-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

• Joseph Paul Behunin, MD
• Shaun Michael Belland, NP
• Benjamin N Storz MD PLLC
• April Lynne' Bennett, LMFT
• Jared Bennett, CCC/SLP
• Samantha Nicole Bennett, RN
• David Bennion
• Jonathan Hugh Bennion, PA-C
• Stephanie Rae Benson, LAMFT
• Emma Bergman

All providers in South Jordan, UT · Clinical Social Worker in Utah