Active NPI
Rosemary Grow Sperry, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1386225860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11285627-3501
- Practice address
- 155 E 900 S
Salt Lake City, UT 84111-4265 - Phone
- (801) 842-1624
- NPI assigned
- Apr 16, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11285627-3501 | UT | Primary |
Addresses
Primary practice location
155 E 900 S
Salt Lake City, UT 84111-4265
Mailing address
155 E 900 S
Salt Lake City, UT 84111-4265
Phone (801) 842-1624
Other names 1
- Ms. Rosemary Morgan Grow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 10, 2023 through Dec 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11285627-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1386225860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 E 900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841114265",
"telephone_number": "801-842-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 E 900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841114265",
"telephone_number": "801-842-1624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERRY",
"first_name": "ROSEMARY",
"middle_name": "GROW",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "11285627-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSEMARY",
"last_name": "GROW",
"middle_name": "MORGAN",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}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 Oct 13, 2021; 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.