Active NPI
Janelle Nimer, PH.D., LCSW
- Clinical Social Worker
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5933210-3501
- Practice address
- 5284 S Commerce Dr Ste C134
Murray, UT 84107 - Phone
- (801) 266-4643
- Fax
- (801) 266-4775
- NPI assigned
- Mar 31, 2006
- 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 | 5933210-3501 | UT | Primary |
Addresses
Primary practice location
5284 S Commerce Dr Ste C134
Murray, UT 84107
Mailing address
5284 S Commerce Dr Ste C134
Murray, UT 84107-5360
Phone (801) 266-4643
Other practice location 1
118 Huxley Rd Ste 1
Knoxville, TN 37922-3183
Phone (865) 657-7008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12060912 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140730002698 | UT | Practitioner - Clinical Social Worker | 7810112521 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 E Vine St
Murray, UT 84107-7904
Phone (801) 266-4643
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Healing Center, PC | Clinical | Current | Accepting new patients |
Locations
45 E Vine St
Salt Lake City, UT 84107
Phone (801) 266-4643
5284 S Commerce Dr
Ste C134
Salt Lake City, UT 84107
Phone (801) 266-4643
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1174584940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5284 S COMMERCE DR STE C134",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075360",
"telephone_number": "801-266-4643",
"fax_number": "801-266-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5284 S COMMERCE DR STE C134",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-266-4643",
"fax_number": "801-266-4775"
}
],
"practiceLocations": [
{
"address_1": "118 Huxley Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379223183",
"country_code": "US",
"telephone_number": "865-657-7008",
"fax_number": "865-978-6617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIMER",
"first_name": "JANELLE",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "5933210-3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12060912",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.