Individual provider Active NPI

Sarah Krupa

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1487128104
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
87-0299862 Issued in UT
Practice address
724 E 2100 S
Salt Lake City, UT 84106-1830
Phone
(801) 487-0499
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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 87-0299862 UT Primary

Addresses

Primary practice location

724 E 2100 S
Salt Lake City, UT 84106-1830

Mailing address

883 S 790 W
Lehi, UT 84043-3997
Phone (801) 687-0669

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
I20220811001830 UT Practitioner - Clinical Social Worker 9335522150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87-0299862UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Behavioral Health Special Service District CurrentSince Jul 28, 2022 Accepting new patients
Wasatch Behavioral Health Special Service District CurrentSince Jul 28, 2022 Accepting new patients

Locations

578 E 300 S
American Fork, UT 84003
Phone (801) 763-5010

750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639

580 E 600 S
Provo, UT 84606
Phone (801) 373-7443

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1487128104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 S 790 W",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433997",
            "telephone_number": "801-687-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061830",
            "telephone_number": "801-487-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPA",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "87-0299862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.