Jeffrey Carr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6168173-3501 Issued in UT

Practice address

9500 S 500 W Ste 209
Sandy, UT 84070-6655

Phone

(801) 419-9832

NPI assigned

Aug 20, 2009

Last updated

Aug 20, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jennifer Fairbourn LMFT, LLC

  dba Cottonwood Creek Counseling

  • Mental Health Counselor
  • Midvale, UT
  • NPI 1356826036
  Medicare reassignment NPD

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1285866509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S 500 W STE 209",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 S 500 W STE 209",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706655",
            "telephone_number": "801-419-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6168173-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Drury Consulting LLC
• Care Treatment and Recreation
• Shaleena Carlisle, MSWI
• Jennifer Carlson, CMCH MAC
• Keriann Carlson, RN
• Korbin Carr, OTR/L
• Benipcia Carrera, DDS
• Carrie a Chandler Aprn PLLC
• Rebecca Sue Carter
• Monette C Cash, LCSW

• Clinical Social Worker in Sandy, UT
• Providers in Sandy, 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 Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.