Active NPI
Rebecca Roe
- Clinical Social Worker
- Layton, UT
National Provider Identifier
1164839585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9640312-3501
- Practice address
- 2131 Kays Creek Dr
Layton, UT 84040-7881 - Phone
- (801) 917-9000
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- 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 | 9640312-3501 | UT | Primary |
Addresses
Primary practice location
2131 Kays Creek Dr
Layton, UT 84040-7881
Mailing address
237 26TH St
Ogden, UT 84401-3105
Phone (801) 625-3700
Other practice location 1
237 26th St
Ogden, UT 84401-3105
Phone (801) 625-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260022408 | Other | UT | RAILROAD MEDICARE |
| 876000308007 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9640312-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1164839585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 26TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844013105",
"telephone_number": "801-625-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 KAYS CREEK DR",
"city": "LAYTON",
"state": "UT",
"postal_code": "840407881",
"telephone_number": "801-917-9000"
}
],
"practiceLocations": [
{
"address_1": "237 26th St",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844013105",
"country_code": "US",
"telephone_number": "801-625-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROE",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "9640312-3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260022408",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "876000308007",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.