Individual provider Active NPI

Anna Karyn Lacy Whisler

  • Clinical Social Worker
  • Logan, UT
National Provider Identifier
1184140345
Registry record updated Aug 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
664 N Main St Ste 203
Logan, UT 84321-6204
Phone
(435) 915-6777
NPI assigned
Aug 19, 2017
Last updated
Aug 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2017

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 Primary

Addresses

Primary practice location

664 N Main St Ste 203
Logan, UT 84321-6204

Mailing address

523 N 750 E
Hyde Park, UT 84318-3357
Phone (435) 915-6777

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
I20190314001579 UT Practitioner - Clinical Social Worker 1052651817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Solutions CounselingGroup PAC ID 5496172389, 7 clinicians

Practice addresses (Care Compare)

115 Golf Course Rd
Suite E
Logan, UT 84321-5934
Phone (435) 799-5035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Dec 5, 2018 Accepting new patients
Family Solutions Counseling Clinical CurrentSince Jun 30, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Dec 5, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

115 Golf Course Rd
Ste 3
Logan, UT 84321

115 Golf Course Rd
Ste E
Logan, UT 84321
Phone (435) 799-5035

664 N Main St
Ste 203
Logan, UT 84321
Phone (435) 915-6777

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503100800000",
    "number": "1184140345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N 750 E",
            "city": "HYDE PARK",
            "state": "UT",
            "postal_code": "843183357",
            "telephone_number": "435-915-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 N MAIN ST STE 203",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216204",
            "telephone_number": "435-915-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY WHISLER",
        "first_name": "ANNA",
        "middle_name": "KARYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-19",
        "last_updated": "2017-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.