Active NPI
Shannon Penny Price, LCSW
- Clinical Social Worker
- Millcreek, UT
National Provider Identifier
1487273298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5193644-3501
- Practice address
- 4465 Maybeck Place
Condo C
Millcreek, UT 84124 - Phone
- (801) 272-2807
- NPI assigned
- Apr 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 5193644-3501 | UT | Primary |
Addresses
Primary practice location
4465 Maybeck Place
Condo C
Millcreek, UT 84124
Mailing address
4465 Maybeck Place
Condo C
Millcreek, UT 84124
Phone (801) 272-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5193644-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586563200000",
"number": "1487273298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 MAYBECK PLACE",
"address_2": "CONDO C",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "84124",
"telephone_number": "801-272-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 MAYBECK PLACE",
"address_2": "CONDO C",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "84124",
"telephone_number": "801-272-2807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "SHANNON",
"middle_name": "PENNY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-11",
"last_updated": "2020-04-11",
"certification_date": "2020-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "5193644-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millcreek, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.