Individual provider Active NPI

Cathy Lynn Wilcox, SSW

  • Social Worker
  • Layton, UT
National Provider Identifier
1285790642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1366653503 Issued in UT
Practice address
2250 Robins Dr
Layton, UT 84041-1140
Phone
(801) 773-7060
Fax
(801) 774-6100
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1366653503 UT Primary

Addresses

Primary practice location

2250 Robins Dr
Layton, UT 84041-1140

Mailing address

894 Francis Cir
Kaysville, UT 84037-9661
Phone (801) 546-8274

Other names 1

  • Cathy Lynn Hansen Other name

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
1366653503UTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285790642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 FRANCIS CIR",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840379661",
            "telephone_number": "801-546-8274",
            "fax_number": "801-546-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 ROBINS DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411140",
            "telephone_number": "801-773-7060",
            "fax_number": "801-774-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "CATHY",
        "middle_name": "LYNN",
        "credential": "SSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "1366653503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHY",
            "last_name": "HANSEN",
            "middle_name": "LYNN",
            "credential": "SSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • 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.