Glade Woolstenhulme

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10787146-3502 Issued in UT

Practice address

11762 S State St Ste 160
Draper, UT 84020-7158

Phone

(801) 654-3229

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1144853615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E SEGO LILY DR APT 302",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704269",
            "telephone_number": "612-875-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 160",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207158",
            "telephone_number": "801-654-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLSTENHULME",
        "first_name": "GLADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10787146-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Kevin Woodruff
• Erin Woods
• Garrison Woods
• Rachel Jordan Woods, M.D.
• Lindsey Woodward
• Marilee Woolstenhulme, LCSW
• Melody Wooten
• Greg Wootton
• Word Play Therapy PLLC (Unified Family Therapy)
• Work Care-South Side, LLC

• Clinical Social Worker in Draper, UT
• Providers in Draper, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.