Wilford Kimball Delamare, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1291363501 Issued in UT

Practice address

9289 S Redwood Rd
West Jordan, UT 84088-6730

Phone

(801) 703-4830

NPI assigned

Apr 27, 2021

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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.

• Life Launch Centers of South Salt Lake

  • Clinical Social Worker
  • West Jordan, UT
  • NPI 1336705292
  NPD (past)

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1376125484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLUB HOUSE CT",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840543381",
            "telephone_number": "801-698-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9289 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886730",
            "telephone_number": "801-703-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N 1680 E Bldg J",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902579",
            "country_code": "US",
            "telephone_number": "435-767-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAMARE",
        "first_name": "WILFORD",
        "middle_name": "KIMBALL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1291363501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Decker
• Jurnee Deegan
• Ashlyn Riggs Degraw, CRNA
• Isabel Deiss
• Jordan Tyler Dekairelle
• Elizabeth J Delass, PT
• Tristen Delgadillo
• Florence Demeyere
• Daniel Dennison
• Madeline Denovellis

• Clinical Social Worker in West Jordan, UT
• Providers in West Jordan, 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 Apr 27, 2021; 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.