Individual provider Active NPI

Randy Scott Linnell, LCSW

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1457480204
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123218 3501 Issued in UT
Practice address
111E 5600 S 300
Murray, UT 84107-8173
Phone
(801) 859-9238
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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 123218 3501 UT Primary

Addresses

Primary practice location

111E 5600 S 300
Murray, UT 84107-8173

Mailing address

111 E 5600 S
Suite #318
Murray, UT 84107-6174
Phone (801) 268-2887

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
123218 3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Center for Cognitive Therapy Clinical PastSince Dec 3, 1998 Accepting new patients
Institute for Cognitive Therapy 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, 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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1457480204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 5600 S",
            "address_2": "SUITE #318",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076174",
            "telephone_number": "801-268-2887",
            "fax_number": "801-268-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111E 5600 S 300",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078173",
            "telephone_number": "801-859-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNELL",
        "first_name": "RANDY",
        "middle_name": "SCOTT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "123218 3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.