Organization Active NPI

Mejken Theurer, LCSW

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1265639736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125043-3501 Issued in UT
Legal business name
MEJKEN THEURER, LCSW
Practice address
3670 Quincy Ave
Suite 101
Ogden, UT 84403-1977
Phone
(801) 334-7798
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mejken Theurer
Title
LCSW
Phone
(801) 499-6990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 125043-3501 UT Primary

Addresses

Primary practice location

3670 Quincy Ave
Suite 101
Ogden, UT 84403-1977

Mailing address

3670 Quincy Ave
Suite 101
Ogden, UT 84403-1977
Phone (801) 334-7798

National Provider Directory

National Provider Directory

Locations

3670 Quincy Ave
Ste 101
Ogden, UT 84403
Phone (801) 334-7798

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265639736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 QUINCY AVE",
            "address_2": "SUITE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031977",
            "telephone_number": "801-334-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 QUINCY AVE",
            "address_2": "SUITE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031977",
            "telephone_number": "801-334-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEJKEN THEURER, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THEURER",
        "authorized_official_first_name": "MEJKEN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "801-499-6990"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "125043-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.