Individual provider Active NPI

Simantha Stewart, LCSW

  • Clinical Social Worker
  • Layton, UT
National Provider Identifier
1205650470
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13296509-3501 Issued in UT
Practice address
296 W Antelope Dr Apt O
Layton, UT 84041-6081
Phone
(307) 887-0139
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 13296509-3501 UT Primary

Addresses

Primary practice location

296 W Antelope Dr Apt O
Layton, UT 84041-6081

Mailing address

PO Box 78
Fairview, WY 83119-0078
Phone (307) 887-0139

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
I20260205001437 UT Practitioner - Clinical Social Worker 5698254126 Practice locations: Clearfield, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2363 N Hill Field Rd
Suite 5
Layton, UT 84041-6910

466 N Main St
Suite 210
Clearfield, UT 84015-3243
Phone (385) 424-0299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13296509-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Simplified Wellness CurrentSince Dec 22, 2024 Accepting new patients

Locations

466 N Main St
Ste 210
Clearfield, UT 84015
Phone (801) 458-2414

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": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1205650470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "FAIRVIEW",
            "state": "WY",
            "postal_code": "831190078",
            "telephone_number": "307-887-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 W ANTELOPE DR APT O",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416081",
            "telephone_number": "307-887-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SIMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13296509-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.