Individual provider Active NPI

Bacall E Hincks, CSW

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1265872121
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8620513-3510 Issued in UT
Practice address
5284 S Commerce Dr Ste C134
Murray, UT 84107-5360
Phone
(801) 266-4643
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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 8620513-3510 UT Primary

Addresses

Primary practice location

5284 S Commerce Dr Ste C134
Murray, UT 84107-5360

Mailing address

5284 S Commerce Dr Ste C134
Murray, UT 84107-5360
Phone (801) 266-4643

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
8620513-3510UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1265872121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 S COMMERCE DR STE C134",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075360",
            "telephone_number": "801-266-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5284 S COMMERCE DR STE C134",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075360",
            "telephone_number": "801-266-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINCKS",
        "first_name": "BACALL",
        "middle_name": "E",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8620513-3510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.