Marybeth Raynes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124871-3902 Issued in UT

Practice address

275 E South Temple
Suite 101
Salt Lake City, UT 84111-1247

Phone

(801) 531-7389

Fax

(801) 364-1433

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366591489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE",
            "address_2": "SUITE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111247",
            "telephone_number": "801-531-7389",
            "fax_number": "801-364-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE",
            "address_2": "SUITE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111247",
            "telephone_number": "801-531-7389",
            "fax_number": "801-364-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNES",
        "first_name": "MARYBETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "124871-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Mary Ray, LCSW
• Robert Louis Rayburn, MD
• Ahmad Rayes, M.D.
• Jessica Raymond, DPT
• Kallin W. Raymond, DO
• Hugo Rayo, PHARMD
• Nadia Raza, MBBS
• Cailey Mortensen Razim, AUD
• RC Medical
• Reach Higher ABA Utah, LLC

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.