Active NPI
Roger Kay Lister, LCSW
- Clinical Social Worker
- Cedar City, UT
National Provider Identifier
1477561587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 132391-3501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Center | Current | Accepting new patients | |
| Southwest Center | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St George, UT
- NPI 1285688515
-
- Substance Use Disorder Rehabilitation Clinic/Center
- St George, UT
- NPI 1548212640
-
- Multi-Specialty Clinic/Center
- St George, UT
- NPI 1922053586
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.