Active NPI
Kylee Ford, LCSW
- Social Worker
- Salt Lake City, UT
National Provider Identifier
1366103525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10895067-3501
- Practice address
- 501 Chipta Way
Salt Lake City, UT 84108 - Phone
- (435) 200-3458
- NPI assigned
- Jan 9, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10895067-3501 | UT | Primary |
Addresses
Primary practice location
501 Chipta Way
Salt Lake City, UT 84108
Mailing address
32 W 200 S # 233
SLC, UT 84101-1603
Phone (435) 200-3458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10895067-3501 | Other | UT | NASW |
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 |
|---|---|---|---|
| 10895067-3501 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1366103525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 W 200 S # 233",
"city": "SLC",
"state": "UT",
"postal_code": "841011603",
"telephone_number": "435-200-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 CHIPTA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84108",
"telephone_number": "435-200-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KYLEE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-09",
"last_updated": "2023-05-02",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "10895067-3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NASW",
"identifier": "10895067-3501",
"state": "UT"
}
],
"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 May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.