Individual provider Active NPI

Britani Liska

  • Clinical Social Worker
  • West Jordan, UT
National Provider Identifier
1437748050
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7106909-3501 Issued in UT
Practice address
9263 S Redwood Rd BLDG 8
West Jordan, UT 84088-6571
Phone
(801) 566-0749
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 7106909-3501 UT Primary

Addresses

Primary practice location

9263 S Redwood Rd BLDG 8
West Jordan, UT 84088-6571

Mailing address

9263 S Redwood Rd BLDG 8
West Jordan, UT 84088-6571
Phone (801) 566-0749

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address providers@jwfc.info Direct

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
7106909-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan West Family Counseling Inc Multi-Specialty PastSince Jan 24, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: britani.liska.1@14940.direct.athenahealth.com

Organizations & group practices 1

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": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1437748050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 S REDWOOD RD BLDG 8",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886571",
            "telephone_number": "801-566-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 S REDWOOD RD BLDG 8",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886571",
            "telephone_number": "801-566-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKA",
        "first_name": "BRITANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7106909-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providers@jwfc.info",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9263 S Redwood Rd Bldg 8",
            "city": "West Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840886571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.