Individual provider Active NPI

Bridget Marie Stuchly, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1306645874
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13991818-3502 Issued in UT
Practice address
4376 S 700 E Ste 200
Salt Lake City, UT 84107-3077
Phone
(385) 272-4292
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 13991818-3502 UT Primary

Addresses

Primary practice location

4376 S 700 E Ste 200
Salt Lake City, UT 84107-3077

Mailing address

1393 S Denver St Unit a
Salt Lake Cty, UT 84115-1511
Phone (801) 243-2744

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
13991818-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Center Inc CurrentSince May 18, 2025 Accepting new patients
Lotus Center Inc CurrentSince Mar 20, 2025 Accepting new patients

Locations

4376 S 700 E
Ste 200
Salt Lake City, UT 84107
Phone (385) 272-4292

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1306645874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 S DENVER ST UNIT A",
            "city": "SALT LAKE CTY",
            "state": "UT",
            "postal_code": "841151511",
            "telephone_number": "801-243-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4376 S 700 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073077",
            "telephone_number": "385-272-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCHLY",
        "first_name": "BRIDGET",
        "middle_name": "MARIE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13991818-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.