Individual provider Active NPI

Ellen Seely

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1104737378
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14293057-3502 Issued in UT
Practice address
231 W 800 S Ste B
Salt Lake City, UT 84101-3023
Phone
(801) 839-5734
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14293057-3502 UT Primary

Addresses

Primary practice location

231 W 800 S Ste B
Salt Lake City, UT 84101-3023

Mailing address

231 W 800 S Ste B
Salt Lake City, UT 84101-3023

Other practice location 1

1400 S 1100 E
Salt Lake City, UT 84105-2435
Phone (801) 702-3539

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1104737378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W 800 S STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841013023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W 800 S STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841013023",
            "telephone_number": "801-839-5734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S 1100 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841052435",
            "country_code": "US",
            "telephone_number": "801-702-3539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEELY",
        "first_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14293057-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.