Individual provider Active NPI

Birgitte C Cuneo Hellberg, CSW

  • Clinical Social Worker
  • Kamas, UT
National Provider Identifier
1255634713
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7777494-3501 Issued in UT
Practice address
228 W 200 S
Kamas, UT 84036-9010
Phone
(435) 513-2270
NPI assigned
Dec 6, 2010
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 77774943502 UT
Clinical Social Worker 1041C0700X 7777494-3501 UT Primary

Addresses

Primary practice location

228 W 200 S
Kamas, UT 84036-9010

Mailing address

132 S 200 E
Kamas, UT 84036-9667
Phone (435) 513-2270

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
I20130607000663 UT Practitioner - Clinical Social Worker 3971741638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77774943502UTMDSocial Worker
7777494-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen W. Malm, PH.D., P.C. CurrentSince Nov 6, 2017 Accepting new patients

Locations

5689 S Redwood Rd
Ste 27
Taylorsville, UT 84123
Phone (801) 266-2485

5689 S Redwood Rd
Unit 27
Taylorsville, UT 84123
Phone (801) 266-2485

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1255634713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S 200 E",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369667",
            "telephone_number": "435-513-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 200 S",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369010",
            "telephone_number": "435-513-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNEO HELLBERG",
        "first_name": "BIRGITTE",
        "middle_name": "C",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "77774943502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7777494-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamas, UT

Sources for this page

Verify at the official NPI Registry.