Sara Gody Jackson Bybee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125

Phone

(801) 662-3606

Fax

(801) 662-3610

NPI assigned

May 13, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1306224092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180",
            "telephone_number": "385-549-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 N MARIO CAPECCHI DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131125",
            "telephone_number": "801-662-3606",
            "fax_number": "801-662-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYBEE",
        "first_name": "SARA",
        "middle_name": "GODY JACKSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "8300623-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Weaver Bybee, RN
• Ann Lucille Bybee, ASUDC
• Blair Lamar Bybee, M.D.
• Matthew Bybee
• Michelle Bybee, CMHC
• Walter Landon Bye, DDS
• Jeoria Byerly
• Carrie Lynn Byington, MD
• Lydia Byington
• Laura Johanna Byl

• 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 Oct 20, 2015; 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.