Sharon Ann Suniville, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1317863501 Issued in UT

Practice address

4505 So Wasatch Blvd
Ste 320
Salt Lake City, UT 84124

Phone

(801) 480-5944

Fax

(801) 277-8800

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285779744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SO WASATCH BLVD",
            "address_2": "STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-480-5944",
            "fax_number": "801-277-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 SO WASATCH BLVD",
            "address_2": "STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-480-5944",
            "fax_number": "801-277-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNIVILLE",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1317863501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon R Sundin, MD
• Susan Colleen Sundstrom, M.S., CCC-A
• Ashlie Sundwall, ATC
• Gita Suneja, M.D.
• Benjamin Yongsung Sung
• Sunlight Family Therapy
• Sunnyside Pediatrics
• Sunstar Optical Inc.
• Kristina Irene Suorsa-Johnson, PHD
• Superior Billing Inc

• 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 Jul 8, 2007; 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.