Megan Komatsu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8842906 Issued in UT

Practice address

10815 S 700 E # 300
Sandy, UT 84070-4702

Phone

(801) 867-3472

NPI assigned

Jul 14, 2014

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

Other names 1

• Megan Komatsu Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Megan Komatsu Inc.

  • Clinical Social Worker
  • Sandy, UT
  • NPI 1639777568
  NPD Authorized official
• Sunrise Solutions

  • Clinical Social Worker
  • Draper, UT
  • NPI 1598112385
  NPD
• Salt Lake County Criminal Justice Services

  • Social Worker
  • Salt Lake City, UT
  • NPI 1841611365
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1396152153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 W SARASOTA LN",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961479",
            "telephone_number": "801-455-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 S 700 E # 300",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704702",
            "telephone_number": "801-867-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMATSU",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8842906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KOMATSU",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Lyn Knowles, RBT
• Holly Bri Knudson, FDN, CMTA, HHC
• Christina Sue Knutson, DDS
• Bonita Gray Kolb, L.P.C.
• Davin Finn Koller
• Olivia Kate Paulsen Kopinsky
• Jacob Korish, DPT
• Amber Kosmas
• Douglas Walter Krahenbuhl, PT
• Kali R Krivinchuk, DC

• Clinical Social Worker in Sandy, UT
• Providers in Sandy, 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 Oct 9, 2020; 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.