Organization Active NPI

Paula L. Maloof LCSW, Inc.

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1174829808
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1413623501 Issued in UT
Legal business name
PAULA L. MALOOF LCSW, INC.
Practice address
1399 S 700 E Ste 17
Salt Lake City, UT 84105-2171
Phone
(801) 485-7441
Fax
(801) 467-1693
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Paula Louise Maloof, LCSWNPI 1548341118
Title
Owner
Phone
(801) 485-7441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1413623501 UT Primary

Addresses

Primary practice location

1399 S 700 E Ste 17
Salt Lake City, UT 84105-2171

Mailing address

1399 S 700 E Ste 17
Salt Lake City, UT 84105-2171
Phone (801) 485-7441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110215000087 UT Part B Supplier - Clinic/Group Practice 8527248194 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

1399 S 700 E
Ste 17
Salt Lake City, UT 84105
Phone (801) 228-0927

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1174829808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 S 700 E STE 17",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052171",
            "telephone_number": "801-485-7441",
            "fax_number": "801-467-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S 700 E STE 17",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052171",
            "telephone_number": "801-485-7441",
            "fax_number": "801-467-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA L. MALOOF LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-485-7441",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1413623501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.