Individual provider Active NPI

Roger Kay Lister, LCSW

  • Clinical Social Worker
  • Cedar City, UT
National Provider Identifier
1477561587
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132391-3501 Issued in UT
Practice address
245 E 680 S
Cedar City, UT 84720-3593
Phone
(435) 867-7654
Fax
(435) 867-7699
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 132391-3501 UT Primary

Addresses

Primary practice location

245 E 680 S
Cedar City, UT 84720-3593

Mailing address

474 W 200 N
#300
St George, UT 84770-4505
Phone (435) 634-5621

Other names 1

  • Kay Lister Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Center CurrentSince Oct 1, 2005 Accepting new patients
Southwest Center CurrentSince Oct 1, 2005 Accepting new patients
Southwest Center Current Accepting new patients

Locations

245 E 680 S
Cedar City, UT 84720
Phone (435) 867-7654

474 W 200 N
#300
St George, UT 84770
Phone (435) 634-5621

474 W 200 N
Ste 300
St George, UT 84770
Phone (435) 634-5606

Organizations & group practices 3

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477561587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W 200 N",
            "address_2": "#300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-634-5621",
            "fax_number": "435-986-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E 680 S",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203593",
            "telephone_number": "435-867-7654",
            "fax_number": "435-867-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "ROGER",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "132391-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "LISTER",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.