Active NPI
Janet Vivian, C.S.W.
- Social Worker
- Salt Lake City, UT
National Provider Identifier
1376911693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9420267-3502
- Practice address
- 150 E 700 S
Salt Lake City, UT 84111-3806 - Phone
- (801) 364-8080
- Fax
- (801) 364-8098
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 9420267-3502 | UT | Primary |
Addresses
Primary practice location
150 E 700 S
Salt Lake City, UT 84111-3806
Mailing address
150 E 700 S
Salt Lake City, UT 84111-3806
Phone (801) 364-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 7, 2025 through Jan 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9420267-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1376911693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 700 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841113806",
"telephone_number": "801-364-8080",
"fax_number": "801-364-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E 700 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841113806",
"telephone_number": "801-364-8080",
"fax_number": "801-364-8098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVIAN",
"first_name": "JANET",
"credential": "C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "9420267-3502",
"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 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.