Individual provider Active NPI

Joel Kay Wendel, L.C.S.W.

  • Clinical Social Worker
  • Kearns, UT
National Provider Identifier
1508030453
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
333153-3501 Issued in UT
Practice address
5242 S 4820 W
Kearns, UT 84118-6422
Phone
(801) 966-4251
Fax
(801) 966-4289
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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 333153-3501 UT Primary

Addresses

Primary practice location

5242 S 4820 W
Kearns, UT 84118-6422

Mailing address

5242 S 4820 W
Kearns, UT 84118-6422
Phone (801) 966-4251

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
333153-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1508030453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 S 4820 W",
            "city": "KEARNS",
            "state": "UT",
            "postal_code": "841186422",
            "telephone_number": "801-966-4251",
            "fax_number": "801-966-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 S 4820 W",
            "city": "KEARNS",
            "state": "UT",
            "postal_code": "841186422",
            "telephone_number": "801-966-4251",
            "fax_number": "801-966-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "JOEL",
        "middle_name": "KAY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "333153-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearns, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.