Individual provider Active NPI

Breanna Dana Korth, CSW

  • Clinical Social Worker
  • St. George, UT
National Provider Identifier
1356168355
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13500682-3501 Issued in UT
Practice address
230 N1680 E
Suite D-1
St. George, UT 84790
Phone
(435) 705-9571
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 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 13500682-3501 UT Primary

Addresses

Primary practice location

230 N1680 E
Suite D-1
St. George, UT 84790

Mailing address

485 N 2170 S Apt N11
Hurricane, UT 84737
Phone (208) 573-7177

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
I20250730003999 UT Practitioner - Clinical Social Worker 5799292934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

230 N 1680
Suite D1
St George, UT 84790-2576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13500682-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nichole Rammell Counseling Services Clinical CurrentSince Jul 1, 2025 Accepting new patients

Locations

230 N 1680 E
Ste D1
St George, UT 84790
Phone (435) 610-1696

Organizations & group practices 1

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1356168355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 N 2170 S APT N11",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "84737",
            "telephone_number": "208-573-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N1680 E",
            "address_2": "SUITE D-1",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-705-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTH",
        "first_name": "BREANNA",
        "middle_name": "DANA",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13500682-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. George, UT

Sources for this page

Verify at the official NPI Registry.