Organization Active NPI

Jill Sabin Smart, LCSW

  • Clinical Social Worker
  • Provo, UT
National Provider Identifier
1154527091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
277530-3501 Issued in UT
Legal business name
JILL SABIN SMART, LCSW
Practice address
315 S 100 E
Provo, UT 84606-4649
Phone
(801) 358-4082
NPI assigned
Jun 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jill Sabin Smart, LCSWNPI 1245436179
Title
Clinical Director
Phone
(801) 358-4082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 277530-3501 UT Primary

Addresses

Primary practice location

315 S 100 E
Provo, UT 84606-4649

Mailing address

PO Box 1077
Springville, UT 84663-7077
Phone (801) 358-4082

National Provider Directory

National Provider Directory

Locations

265 N Main St
Ste 100
Spanish Fork, UT 84660
Phone (801) 358-4082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154527091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846637077",
            "telephone_number": "801-358-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S 100 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846064649",
            "telephone_number": "801-358-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL SABIN SMART, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SABIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-358-4082",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "277530-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.