Active NPI
Joshua Yates, LCSW
- Clinical Social Worker
- South Jordan, UT
National Provider Identifier
1396489480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11285653-3501
- Practice address
- 10808 S River Front Pkwy Ste 352
South Jordan, UT 84095-6100 - Phone
- (704) 886-4075
- NPI assigned
- Apr 25, 2022
- Last updated
- Sep 11, 2023
- Sex
- Male
- 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 | 11285653-3501 | UT | Primary |
Addresses
Primary practice location
10808 S River Front Pkwy Ste 352
South Jordan, UT 84095-6100
Mailing address
13521 S Park Presidio Way Unit 1402
Draper, UT 84020-1989
Phone (704) 886-4075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11285653-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confidence Co., the PLLC | Clinical | Current | Accepting new patients |
| Kaizen Center for Mental Health PLLC | Clinical | Past | Accepting new patients |
Locations
10808 S River Front Pkwy
Ste 352
South Jordan, UT 84095
Phone (704) 886-4075
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.
-
dba The Confidence Company, PLLC
- Clinical Social Worker
- South Jordan, UT
- NPI 1194502575
-
- Clinical Social Worker
- Murray, UT
- NPI 1134616899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1396489480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13521 S PARK PRESIDIO WAY UNIT 1402",
"city": "DRAPER",
"state": "UT",
"postal_code": "840201989",
"telephone_number": "704-886-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10808 S RIVER FRONT PKWY STE 352",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840956100",
"telephone_number": "704-886-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "JOSHUA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-25",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "11285653-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.