Active NPI
Good Growth Therapy
- Clinical Social Worker
- Sandy, UT
National Provider Identifier
1497592356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GOOD GROWTH THERAPY
- Practice address
- 735 E 9000 S Ste 100
Sandy, UT 84094-3089 - Phone
- (801) 725-2680
- NPI assigned
- Jul 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek Robison, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (801) 725-2680
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
735 E 9000 S Ste 100
Sandy, UT 84094-3089
Mailing address
PO Box 575
Midvale, UT 84047-0550
National Provider Directory
National Provider DirectoryLocations
735 E 9000 S
Ste 100
Sandy, UT 84094
Phone (385) 706-5296
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- School Social Worker
- South Salt Lake, UT
- NPI 1174035471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1497592356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 575",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840470550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 E 9000 S STE 100",
"city": "SANDY",
"state": "UT",
"postal_code": "840943089",
"telephone_number": "801-725-2680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD GROWTH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "ROBISON",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "801-725-2680",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.