Individual provider Active NPI

Filiz Undemir, LSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1467073577
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11748832-3501 Issued in UT
Practice address
2200 S State St FL 2
Salt Lake City, UT 84115-2724
Phone
(801) 359-8862
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11748832-3502 UT
Social Worker 104100000X 44SL06243600 NJ
Clinical Social Worker 1041C0700X 11748832-3501 UT Primary

Addresses

Primary practice location

2200 S State St FL 2
Salt Lake City, UT 84115-2724

Mailing address

4479 S 1965 W Unit 40
Roy, UT 84067-2799
Phone (646) 552-6620

Other names 1

  • Filiz Kreisler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 17, 2023 through Jan 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06243600NJMDSocial Worker
11748832-3502UTMDSocial Worker
11748832-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valley Counseling, LLC Past Accepting new patients

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1467073577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 S 1965 W UNIT 40",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672799",
            "telephone_number": "646-552-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S STATE ST FL 2",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152724",
            "telephone_number": "801-359-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDEMIR",
        "first_name": "FILIZ",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11748832-3502",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06243600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11748832-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FILIZ",
            "last_name": "KREISLER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.