Individual provider Active NPI

Aubree Payne, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1477046662
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10832370-3501 Issued in UT
Practice address
4376 S. 700 E.
#200
Salt Lake City, UT 84107
Phone
(385) 272-4292
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 10832370-3501 UT Primary

Addresses

Primary practice location

4376 S. 700 E.
#200
Salt Lake City, UT 84107

Mailing address

4376 S. 700 E.
#200
Salt Lake City, UT 84107
Phone (385) 272-4292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725004017 UT Practitioner - Clinical Social Worker 9830446574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lotus Center IncGroup PAC ID 4284923491, 13 clinicians

Practice addresses (Care Compare)

4376 S 700
Suite 200
Salt Lake City, UT 84107-3077
Phone (385) 272-4292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10832370-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Center Inc CurrentSince Jun 1, 2018 Accepting new patients
Lotus Center Inc CurrentSince May 18, 2025 Accepting new patients

Locations

348 E 4500 S
Ste 360
Salt Lake City, UT 84107
Phone (385) 272-4292

4376 S 700 E
Ste 200
Salt Lake City, UT 84107
Phone (385) 272-4292

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1477046662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4376 S. 700 E.",
            "address_2": "#200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "385-272-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4376 S. 700 E.",
            "address_2": "#200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "385-272-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "AUBREE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10832370-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.