Individual provider Active NPI

Thomas Laskowski, LCSW

  • Clinical Social Worker
  • Sandy, UT
National Provider Identifier
1316480726
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
309275-3501 Issued in UT
Practice address
10402 S Weeping Willow Dr
Sandy, UT 84070-4244
Phone
(801) 696-5538
NPI assigned
Dec 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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 309275-3501 UT Primary

Addresses

Primary practice location

10402 S Weeping Willow Dr
Sandy, UT 84070-4244

Mailing address

10402 S Weeping Willow Dr
Sandy, UT 84070-4244
Phone (801) 696-5538

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
I20170710000693 UT Practitioner - Clinical Social Worker 1254600141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5373 S Green St
Suite 400
Murray, UT 84123-4740
Phone (833) 442-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309275-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Nov 3, 2021 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 3, 2021 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5373 S Green St
Ste 400
Salt Lake City, UT 84123
Phone (801) 442-2615

Organizations & group practices 3

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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1316480726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 S WEEPING WILLOW DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704244",
            "telephone_number": "801-696-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 S WEEPING WILLOW DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704244",
            "telephone_number": "801-696-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKOWSKI",
        "first_name": "THOMAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "309275-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.