KDC Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

89573553501 Issued in UT

Legal business name

KDC PSYCHOTHERAPY LLC

Practice address

850 E 300 S Ste 5
Salt Lake City, UT 84102-2394

Phone

(801) 244-2320

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Kathryn W Carpenter, LCSW

Title

LCSW/Owner

Phone

(801) 244-2320

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1215436712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E 300 S STE 5",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022394",
            "telephone_number": "801-244-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E 300 S STE 5",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022394",
            "telephone_number": "801-244-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDC PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "801-244-2320",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "89573553501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "89573553501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahrish Aieshah Kazi
• Colin John Kazina, M.D.
• Brent Daniel Kaziny, M.D.
• Kci USA, Inc.
• KCKG
• Kde Dental PLLC
• David Joe Keahey, PA-C
• Jacob Kean, PH.D.
• Kearns Senior Living, LLC
• Erin Kearns-Brown

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.