Jennifer Kanani Anker, CSW
Individual provider Active NPI Social Worker · Midvale, UT
NPI 1407008642 · NPPES record last updated Aug 4, 2009
Key facts
- NPI
- 1407008642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 71524963502 (UT)
- Practice address
- 7434 South State Street
Midvale, UT 84047 - Phone
- (801) 566-4423
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71524963502 | UT | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 71524963502 | UT | Yes |
Addresses
Primary practice location
7434 South State Street
Midvale, UT 84047
Mailing address
7434 South State Street
Midvale, UT 84047
Phone (801) 566-4423
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.