Organization Active NPI

Mary Elizabeth Osoro

Doing business as Mary Beth Osoro Pllc

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1447623350
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6234368-3501 Issued in UT
Legal business name
MARY ELIZABETH OSORO
Doing business as
Mary Beth Osoro Pllc
Practice address
7105 S Highland Dr
Suite 101
Salt Lake City, UT 84121-3753
Phone
(385) 228-5175
Fax
(385) 474-4064
NPI assigned
Nov 2, 2015
Last updated
Nov 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Mary Osoro, LCSW
Title
Owner
Phone
(385) 228-5175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6234368-3501 UT Primary

Addresses

Primary practice location

7105 S Highland Dr
Suite 101
Salt Lake City, UT 84121-3753

Mailing address

7105 S Highland Dr
Suite 101
Salt Lake City, UT 84121-3753
Phone (385) 228-5175

Other names 1

  • Mary Beth Osoro Pllc Doing business as

National Provider Directory

National Provider Directory

Locations

7105 S Highland Dr
Ste 101
Salt Lake City, UT 84121
Phone (801) 739-3754

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1447623350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 S HIGHLAND DR",
            "address_2": "SUITE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213753",
            "telephone_number": "385-228-5175",
            "fax_number": "385-474-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 S HIGHLAND DR",
            "address_2": "SUITE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213753",
            "telephone_number": "385-228-5175",
            "fax_number": "385-474-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELIZABETH OSORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "OSORO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-228-5175",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6234368-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Beth Osoro Pllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2015; 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.