Active NPI
Lee Smitherman, CSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1154836567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10422038-3502
- Practice address
- 660 S 200 E
Salt Lake City, UT 84111-3835 - Phone
- (801) 359-8862
- NPI assigned
- Dec 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10422038-3502 | UT | Primary |
Addresses
Primary practice location
660 S 200 E
Salt Lake City, UT 84111-3835
Mailing address
PO Box 681
Bountiful, UT 84011-0681
Phone (901) 286-0224
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10422038-3502 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1154836567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840110681",
"telephone_number": "901-286-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 S 200 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841113835",
"telephone_number": "801-359-8862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHERMAN",
"first_name": "LEE",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "10422038-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.