Shelly Bunker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5383095-3501 Issued in UT

Practice address

160 S 1000 E Ste 310
Salt Lake City, UT 84102-1474

Phone

(801) 981-5825

NPI assigned

Feb 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1437803830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S NAVAJO ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841042303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S 1000 E STE 310",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021474",
            "telephone_number": "801-981-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKER",
        "first_name": "SHELLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5383095-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Clearing house for secure PHI documents.",
            "address_1": "160 S 1000 E Ste 310",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841021474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elisabeth Bunker
• Lauryn Bunker
• Loraine T. Bunker, LCSW
• Martin Bunker
• Michelle Bunker, AUD
• Erika Bunnell
• Thomas Bunnell, CSW
• Zachary Michael Bunnell, LCSW
• Douglas George Bunting, RPH
• Buny Moon Therapy, Pllcs

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake 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 Feb 5, 2022; 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.