Individual provider Active NPI

Adrianne Annette Durrant, LCSW

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1114508470
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10948471-3502 Issued in UT
Practice address
5411 S Vine St Unit 6
Murray, UT 84107-7746
Phone
(435) 669-3811
NPI assigned
Apr 19, 2021
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 10948471-3502 UT Primary

Addresses

Primary practice location

5411 S Vine St Unit 6
Murray, UT 84107-7746

Mailing address

296 W 400 N
American Fork, UT 84003-1567
Phone (435) 669-3811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240110003927 UT Practitioner - Clinical Social Worker 4183074784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Utah School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5882 S 900
Suite 103
Murray, UT 84121-1683
Phone (801) 566-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10948471-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trails to Wellness Counseling Center, Inc. Clinical CurrentSince Nov 5, 2023 Accepting new patients

Locations

5784 S 900 E
Unit 8
Murray, UT 84121
Phone (435) 669-3811

5882 S 900 E
Ste 103
Murray, UT 84121
Phone (385) 462-6148

5411 S Vine St
Unit 6
Salt Lake City, UT 84107
Phone (435) 625-1717

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1114508470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 W 400 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031567",
            "telephone_number": "435-669-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 S VINE ST UNIT 6",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077746",
            "telephone_number": "435-669-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRANT",
        "first_name": "ADRIANNE",
        "middle_name": "ANNETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10948471-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.