Active NPI
Michele R Decremer, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1407057797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6619555-3502
- Practice address
- 1141 E 3900 S
A-170
Salt Lake City, UT 84124-1215 - Phone
- (801) 284-4990
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
NPD (past) CLINICAL -
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1124085170
NPD (past) CLINICAL
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 |
|---|---|---|---|
| 6619555-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Mental Health Incorporated | Clinical | Past | Accepting new patients |
| Valley Behavioral Health Incorporated | Clinical | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6619555-3502 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1141 E 3900 S
A-170
Salt Lake City, UT 84124-1215
Mailing address
2220 Union Ave
Memphis, TN 38104-4315
Phone (901) 567-3554
Other names 1
NPPES NPI Registry- Michele Rands
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2016.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1407057797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381044315",
"telephone_number": "901-567-3554",
"fax_number": "901-567-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 E 3900 S",
"address_2": "A-170",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241215",
"telephone_number": "801-284-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECREMER",
"first_name": "MICHELE",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "6619555-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "RANDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.