Individual provider Active NPI

Anna B Lindell, CSW

  • Social Worker
  • Taylorsville, UT
National Provider Identifier
1487209037
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11285632-3502 Issued in UT
Practice address
3509 W 4700 S
Taylorsville, UT 84129-2846
Phone
(307) 690-1652
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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 11285632-3502 UT Primary

Addresses

Primary practice location

3509 W 4700 S
Taylorsville, UT 84129-2846

Mailing address

PO Box 330
Magna, UT 84044-0330
Phone (801) 990-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 6, 2023 through Feb 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11285632-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Ridge Counseling LLC CurrentSince Aug 11, 2019 Accepting new patients

Locations

3509 W 4700 S
West Valley City, UT 84129

Organizations & group practices 1

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1487209037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840440330",
            "telephone_number": "801-990-4300",
            "fax_number": "801-967-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 W 4700 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292846",
            "telephone_number": "307-690-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDELL",
        "first_name": "ANNA",
        "middle_name": "B",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11285632-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.