Active NPI
Stephen Exarhos, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1275919805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10368129-3501
- Practice address
- 344 E 100 S
Ste 301
Salt Lake City, UT 84111-1700 - Phone
- (801) 322-4257
- NPI assigned
- Aug 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 10368129-3501 | UT | Primary |
Addresses
Primary practice location
344 E 100 S
Ste 301
Salt Lake City, UT 84111-1700
Mailing address
1174 E Graystone Way Ste 6
Salt Lake City, UT 84106-2671
Phone (801) 634-6418
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 |
|---|---|---|---|
| 10368129-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Leybas PLLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1548892649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1275919805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 E GRAYSTONE WAY STE 6",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062671",
"telephone_number": "801-634-6418",
"fax_number": "801-713-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 E 100 S",
"address_2": "STE 301",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111700",
"telephone_number": "801-322-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXARHOS",
"first_name": "STEPHEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-05",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "10368129-3501",
"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 Jul 16, 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.