Individual provider Active NPI

Bobette R Page, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1316052319
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13159649-3501 Issued in UT
Practice address
393 E Riverside Dr
St George, UT 84790-6995
Phone
(435) 359-2364
Fax
(408) 356-1742
NPI assigned
Aug 20, 2006
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27373 ID
Clinical Social Worker 1041C0700X 13159649-3501 UT Primary

Addresses

Primary practice location

393 E Riverside Dr
St George, UT 84790-6995

Mailing address

393 E Riverside Dr Ste 201
St George, UT 84790-7124
Phone (435) 359-2364

Other names 1

  • Ms. Bobbi Page 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
27373IDMDClinical Social Worker
13159649-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Wings Center of Healing Clinical Past Accepting new patients
Women's Healthcare Associates, P.a. Past Accepting new patients
Sundance Behavioral Resources Past Accepting new patients
Providence Health & Services - Washington PastSince Sep 1, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bobette.page.1@28621.direct.athenahealth.com

Organizations & group practices 4

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1316052319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E RIVERSIDE DR STE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907124",
            "telephone_number": "435-359-2364",
            "fax_number": "408-356-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906995",
            "telephone_number": "435-359-2364",
            "fax_number": "408-356-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "BOBETTE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "27373",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13159649-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBI",
            "last_name": "PAGE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.