Individual provider Active NPI

Kjarsten Christensen, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1376917609
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
94488263502 Issued in UT
Practice address
1555 W 2200 S
Salt Lake City, UT 84119-1429
Phone
(801) 886-8900
NPI assigned
Nov 24, 2015
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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 94488263502 UT Primary

Addresses

Primary practice location

1555 W 2200 S
Salt Lake City, UT 84119-1429

Mailing address

1545 S 700 E
Salt Lake City, UT 84105-2135
Phone (801) 652-7595

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
I20180424001699 UT Practitioner - Clinical Social Worker 9830452986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7069 S Highland Dr
Suite 100
Salt Lake City, UT 84121-3731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94488263502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Paths Counseling LLC CurrentSince Mar 6, 2024 Accepting new patients
Intermountain Specialized Abuse Treatment Center (Isat) Past Accepting new patients

Locations

5882 S 900 E
Ste 303
Murray, UT 84121
Phone (385) 414-7704

7069 S Highland Dr
Ste 100
Salt Lake City, UT 84121
Phone (801) 214-1565

7069 S Highland Dr
Salt Lake City, UT 84121
Phone (801) 244-2021

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1376917609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052135",
            "telephone_number": "801-652-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W 2200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841191429",
            "telephone_number": "801-886-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KJARSTEN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "94488263502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.