Individual provider Active NPI

Janelle Nimer, PH.D., LCSW

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1174584940
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5933210-3501 Issued in UT
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

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12060912OtherCAQH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Utah Healing Center, PCGroup PAC ID 8325351414, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Utah Healing Center, PC Clinical CurrentSince Aug 1, 2011 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

Verify at the official NPI Registry.