Individual provider Active NPI

Brandy Farnsworth, CSW

  • Social Worker
  • Salt Lake City, UT
National Provider Identifier
1477442861
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14221674-3502 Issued in UT
Practice address
150 S 1000 E
Salt Lake City, UT 84102-1443
Phone
(801) 823-1988
NPI assigned
Jun 30, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14221674-3502 UT Primary

Addresses

Primary practice location

150 S 1000 E
Salt Lake City, UT 84102-1443

Mailing address

119 W Lucy Ave
Salt Lake City, UT 84101-3108

Other practice location 1

613 E Fort Union Blvd Ste 104
Midvale, UT 84047-5531
Phone (801) 984-1717

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
I20250909004811 UT Practitioner - Clinical Social Worker 9335642198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 S 1000
Salt Lake City, UT 84102-1443

860 E 4500
Suite 206
Salt Lake City, UT 84107-3014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14221674-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Utah AIDS Foundation CurrentSince Aug 5, 2025 Accepting new patients
Life Stone Group, LLC PastSince Jul 1, 2025 Accepting new patients

Locations

150 S 10th E
Salt Lake Cty, UT 84102
Phone (801) 363-4071

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": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1477442861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W LUCY AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841013108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 1000 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021443",
            "telephone_number": "801-823-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 E Fort Union Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840475531",
            "country_code": "US",
            "telephone_number": "801-984-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "BRANDY",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "14221674-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.