Active NPI
Anne Freed LCSW LLC
- Community/Behavioral Health Agency
- SLC, UT
National Provider Identifier
1124657853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47411233501 | Other | UT | LICENSE NUMBER |
Other names 1
- Anne Freed LCSW LLC
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 DirectoryInteroperability endpoints
- anniefreed@hipaa.us
- 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.