Lynell South Packer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4817282-3501 Issued in UT

Practice address

2317 N Hill Field Rd Ste 103
Layton, UT 84041-4782

Phone

(801) 525-4645

Fax

(801) 779-7808

NPI assigned

Oct 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1386895761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 N HILL FIELD RD STE 103",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414782",
            "telephone_number": "801-525-4645",
            "fax_number": "801-779-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 N HILL FIELD RD STE 103",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414782",
            "telephone_number": "801-525-4645",
            "fax_number": "801-779-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "LYNELL",
        "middle_name": "SOUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4817282-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Pace, PA-C
• Esperanza Cordero Pacejka, MS. CCC-SLP
• Pacific Therapy Solutions
• Carly Pack
• Christopher Greg Packard, M.P.T.
• Gabriella Pagan
• Kimberly Ann Page, CSW
• Mary Page
• Ashley Palmer
• Jessica Lee Palmer

• Clinical Social Worker in Layton, UT
• Providers in Layton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.