Individual provider Active NPI

Rebecca Nay, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1386241560
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12337285-3501 Issued in UT
Practice address
140 W 2100 S Ste 110
Salt Lake City, UT 84115-1855
Phone
(801) 896-7930
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 12337285-3501 UT Primary

Addresses

Primary practice location

140 W 2100 S Ste 110
Salt Lake City, UT 84115-1855

Mailing address

3679 S 1950 W Apt 42
West Valley City, UT 84119-3889

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
I20230608002159 UT Practitioner - Clinical Social Worker 5395102214 Reassigns benefits to 1 organization
Practice locations: West Valley, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Utah School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifton R Uckerman LCSWGroup PAC ID 2668855420, 2 clinicians

Practice addresses (Care Compare)

140 W 2100
Suite 110
Salt Lake City, UT 84115-1855
Phone (801) 382-8259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mayrx CurrentSince Apr 1, 2024 Accepting new patients
Clifton R Uckerman LCSW Clinical CurrentSince May 22, 2023 Accepting new patients
Catholic Health Initiatives Colorado PastSince Oct 1, 2020 Accepting new patients

Locations

140 W 2100 S
Ste 110
Salt Lake City, UT 84115
Phone (801) 382-8259

500 S 300 W
N737
Salt Lake City, UT 84101

Organizations & group practices 3

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1386241560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3679 S 1950 W APT 42",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 2100 S STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151855",
            "telephone_number": "801-896-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAY",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12337285-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.