Kimberly Noelle Pellegrini Sagers

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11316233-3502 Issued in UT

Practice address

6770 S 900 E Ste 201
Midvale, UT 84047-5548

Phone

(801) 305-3171

NPI assigned

Aug 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Noelle Pellegrini Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Terracotta Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lewisville, TX
  • NPI 1245937226
  NPD Authorized official

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1154847259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 N FOREST LAKE CIR",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628013",
            "telephone_number": "801-931-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 S 900 E STE 201",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475548",
            "telephone_number": "801-305-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGERS",
        "first_name": "KIMBERLY",
        "middle_name": "NOELLE PELLEGRINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11316233-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PELLEGRINI",
            "middle_name": "NOELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Ryan, PHARM.D.
• Elenoa Saafi
• Elaine Saena
• Mark Saengsoury
• Michael Saenz
• Salt Lake County Corporation
• Toi H Sampson
• Bryce D Sanders, PHARM D.
• Sandra B Foster LCSW PC
• Suzanne Lott Santos, MA, MS

• Clinical Social Worker in Midvale, UT
• Providers in Midvale, 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 May 3, 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.