Brent Carman Pace, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3287263501 Issued in UT

Practice address

1164 E 1St Ave
Salt Lake City, UT 84103-4108

Phone

(801) 599-6279

NPI assigned

Jan 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center for Human Potential

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1366679441
  NPD (past)

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1285605204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 E 1ST AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034108",
            "telephone_number": "801-599-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 E 1ST AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034108",
            "telephone_number": "801-599-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "BRENT",
        "middle_name": "CARMAN",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3287263501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "32872635000001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Ozawa
• Julia Ozbolt, MD
• Linda Pabst, SLP
• Pac Counseling
• Lincoln Joseph Pac, M.D.
• Christopher Wesley Pace, LCSW
• Elysia Pace, MSW, BSW
• Loyal J Pace, MD
• Nathan L. Pace, M.D.
• Susan Wells Pace

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.