Individual provider Active NPI

Steve Varechok, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1376690610
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
134414-3501 Issued in UT
Practice address
4505 Wasatch Blvd
Suite 320
Salt Lake City, UT 84124-4709
Phone
(801) 277-8100
Fax
(801) 277-8800
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 134414-3501 UT Primary

Addresses

Primary practice location

4505 Wasatch Blvd
Suite 320
Salt Lake City, UT 84124-4709

Mailing address

4505 Wasatch Blvd
Suite 320
Salt Lake City, UT 84124-4709
Phone (801) 277-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000031 UT Practitioner - Clinical Social Worker 6709976624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4505 S Wasatch Blvd
Suite 320
Salt Lake City, UT 84124-4755
Phone (801) 277-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376690610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 WASATCH BLVD",
            "address_2": "SUITE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244709",
            "telephone_number": "801-277-8100",
            "fax_number": "801-277-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 WASATCH BLVD",
            "address_2": "SUITE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244709",
            "telephone_number": "801-277-8100",
            "fax_number": "801-277-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARECHOK",
        "first_name": "STEVE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "134414-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.