Individual provider Active NPI

Sue Brown, LCSW

  • Social Worker
  • Salt Lake City, UT
National Provider Identifier
1194457655
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9155169-3501 Issued in UT
Practice address
1334 E Integra CT
Salt Lake City, UT 84106-4412
Phone
(801) 792-5477
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9155169-3501 UT Primary

Addresses

Primary practice location

1334 E Integra CT
Salt Lake City, UT 84106-4412

Mailing address

1334 E Integra CT
Salt Lake City, UT 84106-4412
Phone (801) 792-5477

Other names 1

  • Sue Brown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9155169-3501UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lemi PLLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

2825 E Cottonwood Pkwy
Ste 500
Salt Lake Cty, UT 84121
Phone (801) 653-3111

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1194457655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 E INTEGRA CT",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064412",
            "telephone_number": "801-792-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 E INTEGRA CT",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064412",
            "telephone_number": "801-792-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "9155169-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "BROWN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.