Organization Active NPI

Anne Freed LCSW LLC

  • Community/Behavioral Health Agency
  • SLC, UT
National Provider Identifier
1124657853
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANNE FREED LCSW LLC
Doing business as
Anne Freed LCSW LLC
Practice address
4505 S Wasatch Blvd Ste 320
SLC, UT 84124-4755
Phone
(801) 556-2430
Fax
(801) 277-8800
NPI assigned
Apr 4, 2020
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Anne F Goldberg, MSW, LCSW
Title
Owner
Phone
(801) 556-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4505 S Wasatch Blvd Ste 320
SLC, UT 84124-4755

Mailing address

4505 S Wasatch Blvd Ste 320
SLC, UT 84124-4755
Phone (801) 556-2430

Other identifiers 1

IdentifierTypeStateIssuer
47411233501OtherUTLICENSE NUMBER

Other names 1

  • Anne Freed LCSW LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address anniefreed@hipaa.us Health Information Exchange (HIE)
Direct Messaging Address anniefreed@hopaamail.us Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: anniefreed@hipaa.us
  • Direct secure messaging: anniefreed@hopaamail.us

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1124657853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD STE 320",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841244755",
            "telephone_number": "801-556-2430",
            "fax_number": "801-277-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD STE 320",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841244755",
            "telephone_number": "801-556-2430",
            "fax_number": "801-277-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE FREED LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-556-2430",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "47411233501",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anniefreed@hipaa.us",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "4505 S Wasatch Blvd Ste 320",
            "city": "Slc",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841244755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anniefreed@hopaamail.us",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "4505 S Wasatch Blvd Ste 320",
            "city": "Slc",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841244755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Anne Freed LCSW LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anne Freed LCSW LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.