Active NPI
Kyle S Taggart, CSW
- Clinical Social Worker
- Syracuse, UT
National Provider Identifier
1336665264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10832956-3502
- Practice address
- 2019 W 1900 S Ste 140
Syracuse, UT 84075-9643 - Phone
- (801) 809-3398
- NPI assigned
- Aug 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10832956-3502 | UT | Primary |
Addresses
Primary practice location
2019 W 1900 S Ste 140
Syracuse, UT 84075-9643
Mailing address
2019 W 1900 S Ste 140
Syracuse, UT 84075-9643
Phone (801) 809-3398
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10832956-3502 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543017600000",
"number": "1336665264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 W 1900 S STE 140",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840759643",
"telephone_number": "801-809-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 W 1900 S STE 140",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840759643",
"telephone_number": "801-809-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGGART",
"first_name": "KYLE",
"middle_name": "S",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2018-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "10832956-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.