Individual provider Active NPI

Lucy Ann Falk

  • Clinical Social Worker
  • Holladay, UT
National Provider Identifier
1417537598
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12267018-3502 Issued in UT
Practice address
2046 E Murray Holladay Rd Ste 101
Holladay, UT 84117-5173
Phone
(801) 980-2566
NPI assigned
Apr 12, 2021
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 12267018-3502 UT Primary

Addresses

Primary practice location

2046 E Murray Holladay Rd Ste 101
Holladay, UT 84117-5173

Mailing address

556 E 300 S Ste 108
American Fork, UT 84003-3844
Phone (801) 980-2566

Other practice location 1

556 E 300 S Ste 108
American Fork, UT 84003-3844
Phone (801) 980-2566 ext. 201

Other practice location 2

39 Professional Way Ste 4
Payson, UT 84651-1678
Phone (801) 980-2566

Other names 1

  • Lucy Ann Gochnour Former name

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

LicenseStateTypeSpecialty
12267018-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zest for Life Counseling - Holladay Clinical CurrentSince Mar 5, 2023 Accepting new patients
Zest for Life Counseling Clinical CurrentSince Jul 3, 2022 Accepting new patients
Zest for Life Counseling - St George PastSince Jul 28, 2024 Accepting new patients

Locations

556 E 300 S
Ste 108
American Fork, UT 84003
Phone 8019802566 ext. 201

2046 E Murray Holladay Rd
Ste 101
Holladay, UT 84117
Phone (801) 980-2566

39 Professional Way
Ste 4
Payson, UT 84651
Phone (801) 465-3201

491 E Riverside Dr
Ste 3A
St George, UT 84790
Phone (801) 980-2566

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1417537598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 E 300 S STE 108",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033844",
            "telephone_number": "801-980-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 E MURRAY HOLLADAY RD STE 101",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175173",
            "telephone_number": "801-980-2566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "556 E 300 S Ste 108",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840033844",
            "country_code": "US",
            "telephone_number": "801-980-2566 x201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Professional Way Ste 4",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846511678",
            "country_code": "US",
            "telephone_number": "801-980-2566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALK",
        "first_name": "LUCY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12267018-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "GOCHNOUR",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.