Individual provider Active NPI

Chelsea Christina Brinkerhoff, LCSW

  • Clinical Social Worker
  • Pleasant Grove, UT
National Provider Identifier
1225473499
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9074891-3501 Issued in UT
Practice address
459 E 1000 S
Pleasant Grove, UT 84062-3623
Phone
(385) 501-3351
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 9074891-3501 UT Primary

Addresses

Primary practice location

459 E 1000 S
Pleasant Grove, UT 84062-3623

Mailing address

459 E 1000 S
Pleasant Grove, UT 84062-3623
Phone (385) 501-3351

Other practice location 1

135 W Center St
Pleasant Grove, UT 84062-2207
Phone (801) 785-1169

Other practice location 2

345 E 4500 S
Murray, UT 84107-3991
Phone (801) 747-3556

Other identifiers 1

IdentifierTypeStateIssuer
CHELSEA0057MedicaidUT

Other names 1

  • Chelsea Christina Bowman Former 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
9074891-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1225473499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 E 1000 S",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623623",
            "telephone_number": "385-501-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 E 1000 S",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623623",
            "telephone_number": "385-501-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 W Center St",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "UT",
            "postal_code": "840622207",
            "country_code": "US",
            "telephone_number": "801-785-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 E 4500 S",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841073991",
            "country_code": "US",
            "telephone_number": "801-747-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKERHOFF",
        "first_name": "CHELSEA",
        "middle_name": "CHRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9074891-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CHELSEA0057",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "BOWMAN",
            "middle_name": "CHRISTINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.