Kathleen Parker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68850903501 Issued in UT

Practice address

3070 Rasmussen Rd Ste 280
Park City, UT 84098-5516

Phone

(801) 671-1315

NPI assigned

Mar 30, 2008

Last updated

Oct 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Creating Change

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1447564547
  Authorized official Same address or phone
• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Clinical

  NPD (past)

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1407028483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982693",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840982693",
            "telephone_number": "801-671-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 RASMUSSEN RD STE 280",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985516",
            "telephone_number": "801-671-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-30",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "37097",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "68850903501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "123456789",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park City Pediatric Dentistry
• Park City Pediatric Dentistry
• Park City Surgery Center LLC
• Park City Vision Center, Inc.
• Katharine Parker, RDN, CNSC, CD
• Mary H Parsons, MD
• Gina Marie Pasin, P.A.
• Laura Valentina Pastrana
• Beverly Ann Patchell, APRN
• Imari Pravin Patel, MD

• Clinical Social Worker in Park City, UT
• Providers in Park City, 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 12, 2021; 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.