Individual provider Active NPI

Dorothy Sue Winters, CSW

  • Clinical Social Worker
  • South Jordan, UT
National Provider Identifier
1306460258
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
873 W Baxter Dr
South Jordan, UT 84095-8506
Phone
(801) 446-3515
Fax
(801) 601-1578
NPI assigned
Jun 5, 2020
Last updated
Jun 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

873 W Baxter Dr
South Jordan, UT 84095-8506

Mailing address

873 W Baxter Dr
South Jordan, UT 84095-8506
Phone (801) 446-3515

Other names 1

  • Dorothy Sue Koski Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260328000153 UT Practitioner - Clinical Social Worker 1850876723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Utah School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

873 W Baxter Dr
South Jordan, UT 84095-8506

PO Box
Suite 712260
Salt Lake City, UT 84171-2260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riley Individual, Family, and Marriage Counseling LLC CurrentSince Jun 7, 2020 Accepting new patients
Reach Counseling, LLC Clinical CurrentSince Feb 19, 2025 Accepting new patients

Locations

3435 E Pony Express Pkwy
Eagle Mountain, UT 84005
Phone (801) 996-7911

3006 S Highland Dr
Ste 206
Millcreek, UT 84106

873 W Baxter Dr
South Jordan, UT 84095
Phone (801) 446-3515

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1306460258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 W BAXTER DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506",
            "telephone_number": "801-446-3515",
            "fax_number": "801-601-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 W BAXTER DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506",
            "telephone_number": "801-446-3515",
            "fax_number": "801-601-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "DOROTHY",
        "middle_name": "SUE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "KOSKI",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.