Individual provider Active NPI

Karen Cluff, SSW

  • Social Worker
  • SLC, UT
National Provider Identifier
1336641117
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10175666-3503 Issued in UT
Practice address
411 N Grant St
SLC, UT 84116-2725
Phone
(801) 358-8862
Fax
(801) 358-8862
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10175666-3503 UT Primary

Addresses

Primary practice location

411 N Grant St
SLC, UT 84116-2725

Mailing address

411 N Grant St
SLC, UT 84116-2725
Phone (801) 359-8862

Other practice location 1

434 S 500 E
SLC, UT 84102
Phone (801) 597-0358

Other practice location 2

440 S 500 E
Slc, UT 84102-2705
Phone (801) 359-8832 ext. 2127

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
10175666-3503UTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1336641117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N GRANT ST",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841162725",
            "telephone_number": "801-359-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N GRANT ST",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841162725",
            "telephone_number": "801-358-8862",
            "fax_number": "801-358-8862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 S 500 E",
            "address_purpose": "LOCATION",
            "city": "SLC",
            "state": "UT",
            "postal_code": "84102",
            "country_code": "US",
            "telephone_number": "801-597-0358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 S 500 E",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841022705",
            "country_code": "US",
            "telephone_number": "801-359-8832 x2127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLUFF",
        "first_name": "KAREN",
        "credential": "SSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "10175666-3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.