Individual provider Active NPI

Yasmin Cassandra Pantoja, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1487547188
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
140604243501 Issued in UT
Practice address
3802 S 700 E
Salt Lake City, UT 84106-1182
Phone
(385) 202-6140
NPI assigned
May 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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 140604243501 UT Primary

Addresses

Primary practice location

3802 S 700 E
Salt Lake City, UT 84106-1182

Mailing address

3290 E Upland Dr
Salt Lake City, UT 84109-3736
Phone (815) 557-0738

Other practice location 1

2825 E Cottonwood Pkwy Ste 500
Cottonwood Heights, UT 84121-7060
Phone (385) 202-6140

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

LicenseStateTypeSpecialty
140604243501UTMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1487547188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 E UPLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093736",
            "telephone_number": "815-557-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061182",
            "telephone_number": "385-202-6140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 E Cottonwood Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Cottonwood Heights",
            "state": "UT",
            "postal_code": "841217060",
            "country_code": "US",
            "telephone_number": "385-202-6140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTOJA",
        "first_name": "YASMIN",
        "middle_name": "CASSANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "140604243501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.