Heather Anna Whitehead-Sampinos, L.C.S.W

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

128651-3501 Issued in UT

Practice address

2500 S State St
South Salt Lake, UT 84115-3164

Phone

(385) 646-0569

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Heather A Whitehead Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Clearview Counseling & Assessment Inc

  • Mental Health Counselor
  • Sandy, UT
  • NPI 1881113314
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1356301154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064166",
            "telephone_number": "801-598-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S STATE ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153164",
            "telephone_number": "385-646-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 W Winchester St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841075607",
            "country_code": "US",
            "telephone_number": "801-263-6367",
            "fax_number": "801-263-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD-SAMPINOS",
        "first_name": "HEATHER",
        "middle_name": "ANNA",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "128651-3501",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "UT",
            "license": "128651-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "12865135000001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WHITEHEAD",
            "middle_name": "A",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wellcon, Inc.
• Chelsey Ann Wendel
• Andrea Wenger, ED.S.
• Amber Whitaker, LCSW
• Raeann White, RN
• Tina Rose Whitehead
• Jennifer Payne Whitlock
• Cynthia M Wignall, COTA/L
• Todd R Wilcox, MD
• Morgan Williams

• School Social Worker in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• School Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.