Individual provider Active NPI

Page Speiser, M.S.W.

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1104928654
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
138965-3501 Issued in UT
Practice address
275 E South Temple Ste 101
Salt Lake City, UT 84111-1243
Phone
(801) 531-7389
Fax
(801) 364-1433
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 138965-3501 UT Primary

Addresses

Primary practice location

275 E South Temple Ste 101
Salt Lake City, UT 84111-1243

Mailing address

275 E South Temple Ste 101
Salt Lake City, UT 84111-1243
Phone (801) 531-7389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220002167 UT Practitioner - Clinical Social Worker 4385902410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
138965-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Page Speiser L C S W P C CurrentSince Oct 10, 2017 Accepting new patients

Locations

275 E South Temple
Ste 101
Salt Lake Cty, UT 84111
Phone (801) 531-7389

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104928654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111243",
            "telephone_number": "801-531-7389",
            "fax_number": "801-364-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111243",
            "telephone_number": "801-531-7389",
            "fax_number": "801-364-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEISER",
        "first_name": "PAGE",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "138965-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.