Active NPI
Sydney Anne Elggren, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1356536429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6141201-3501
- Practice address
- 1754 Kensington Ave
Salt Lake City, UT 84108-2601 - Phone
- (801) 463-2929
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 6141201-3501 | UT | Primary |
Addresses
Primary practice location
1754 Kensington Ave
Salt Lake City, UT 84108-2601
Mailing address
1754 Kensington Ave
Salt Lake City, UT 84108-2601
Phone (801) 463-2929
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1356536429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1754 KENSINGTON AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082601",
"telephone_number": "801-463-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1754 KENSINGTON AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082601",
"telephone_number": "801-463-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGGREN",
"first_name": "SYDNEY",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "6141201-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.