Tree of Life Childrens Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TREE OF LIFE CHILDRENS CENTER LLC

Practice address

1812 N 2000 W
Farr West, UT 84404-8058

Phone

(801) 710-0421

NPI assigned

Dec 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Call, LCSWNPI 1801238209

Title

Owner

Phone

(801) 710-0421

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Call, LCSW

  • Clinical Social Worker
  • North Ogden, UT
  • NPI 1801238209
  NPD (past) Authorized official
• Kelci Ward Beus

  • Mental Health Counselor
  • North Ogden, UT
  • NPI 1598294183
  NPD (past)

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1154968246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N WASHINGTON BLVD STE 301",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N 2000 W",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844048058",
            "telephone_number": "801-710-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE CHILDRENS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-710-0421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Farr West, UT
• Providers in Farr West, 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 Dec 8, 2019; 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.