Active NPI
Megan Allred, CSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1275110306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14011640-3502
- Practice address
- 352 S Denver St Ste 350
Salt Lake City, UT 84111-3059 - Phone
- (801) 521-4227
- Fax
- (801) 359-0777
- NPI assigned
- Mar 25, 2021
- Last updated
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14011640-3502 | UT | Primary |
Addresses
Primary practice location
352 S Denver St Ste 350
Salt Lake City, UT 84111-3059
Mailing address
PO Box 3872
Salt Lake City, UT 84110-3872
Phone (801) 521-4227
Other practice location 1
545 W 465 N Ste 100
Providence, UT 84332-8004
Phone (435) 671-3255
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14011640-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles L Diviney III MC LPC NCC LLC | Clinical | Current | Accepting new patients |
Locations
352 S Denver St
Ste 350
Slc, UT 84111
Phone (801) 521-4227
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": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1275110306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3872",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841103872",
"telephone_number": "801-521-4227",
"fax_number": "801-359-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 S DENVER ST STE 350",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841113059",
"telephone_number": "801-521-4227",
"fax_number": "801-359-0777"
}
],
"practiceLocations": [
{
"address_1": "545 W 465 N Ste 100",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "UT",
"postal_code": "843328004",
"country_code": "US",
"telephone_number": "435-671-3255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLRED",
"first_name": "MEGAN",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "14011640-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.