Individual provider Active NPI

Kiera M Andreason, CSW

  • Social Worker
  • West Valley, UT
National Provider Identifier
1124742655
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11833514-3502 Issued in UT
Practice address
2655 S Lake Erie Dr Ste E
West Valley, UT 84120-7350
Phone
(385) 441-4900
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11833514-3502 UT Primary

Addresses

Primary practice location

2655 S Lake Erie Dr Ste E
West Valley, UT 84120-7350

Mailing address

4922 W Fish Hook Rd
South Jordan, UT 84009-4779
Phone (801) 860-8023

Other names 1

  • Kiera M Gardner Other name

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

State licenses

LicenseStateTypeSpecialty
11833514-3502UTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1124742655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 W FISH HOOK RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840094779",
            "telephone_number": "801-860-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S LAKE ERIE DR STE E",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841207350",
            "telephone_number": "385-441-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREASON",
        "first_name": "KIERA",
        "middle_name": "M",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11833514-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIERA",
            "last_name": "GARDNER",
            "middle_name": "M",
            "credential": "CSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.