Individual provider Active NPI

Laura Beth Godenick

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1407337231
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13405088-3501 Issued in UT
Practice address
488 E Winchester St Ste 240
Murray, UT 84107-7590
Phone
(435) 248-2089
Fax
(801) 207-5104
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13405088-3501 UT Primary

Addresses

Primary practice location

488 E Winchester St Ste 240
Murray, UT 84107-7590

Mailing address

4465 S 900 E Ste 150
Salt Lake City, UT 84124-3944
Phone (435) 248-2089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260515003280 UT Practitioner - Clinical Social Worker 2567931801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Utah School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3811 E Viewcrest Dr
Salt Lake City, UT 84124-3932

7070 S Union Park Ave
Suite 150
Midvale, UT 84047-6043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13405088-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Therapy Center Mental Health Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1407337231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243944",
            "telephone_number": "435-248-2089",
            "fax_number": "801-207-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E WINCHESTER ST STE 240",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077590",
            "telephone_number": "435-248-2089",
            "fax_number": "801-207-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODENICK",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13405088-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.