Individual provider Active NPI

Christy Atkinson, LCSW

  • Clinical Social Worker
  • SLC, UT
National Provider Identifier
1215319686
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8427479-3501 Issued in UT
Practice address
525 E 100 S
Suite 120
SLC, UT 84102-4210
Phone
(801) 389-9997
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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 8427479-3501 UT Primary

Addresses

Primary practice location

525 E 100 S
Suite 120
SLC, UT 84102-4210

Mailing address

525 E 100 S
Suite 120
SLC, UT 84102-4210
Phone (801) 389-9997

Other names 1

  • Christy R Wilcox Former name

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
I20151103003012 UT Practitioner - Clinical Social Worker 1153631171 Reassigns benefits to 1 organization

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
Center for Human Potential Inc 12 clinicians

Practice addresses (Care Compare)

265 E 100
Suite 250
Salt Lake City, UT 84111-1643
Phone (801) 483-2447

265 E 100 S
Suite 250
Salt Lake City, UT 84111-1643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8427479-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Potential Inc CurrentSince Aug 10, 2015 Accepting new patients
Professional Consulting LLC Past Accepting new patients
Center for Human Potential PastSince Dec 15, 2019 Accepting new patients

Locations

525 E 100 S
Ste 120
Slc, UT 84102
Phone (801) 450-1128

265 E 100 S
Ste 250
Slc, UT 84111
Phone (801) 483-2447

Organizations & group practices 3

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1215319686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 100 S",
            "address_2": "SUITE 120",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841024210",
            "telephone_number": "801-389-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 100 S",
            "address_2": "SUITE 120",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841024210",
            "telephone_number": "801-389-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "CHRISTY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8427479-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "WILCOX",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in SLC, UT

Sources for this page

Verify at the official NPI Registry.