Individual provider Active NPI

Emily Elizabeth Mullenax, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1508462144
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10507240-3501 Issued in UT
Practice address
1399 S 700 E Ste 11
Salt Lake City, UT 84105-2124
Phone
(385) 313-8278
NPI assigned
Dec 9, 2020
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 10507240-3501 UT Primary

Addresses

Primary practice location

1399 S 700 E Ste 11
Salt Lake City, UT 84105-2124

Mailing address

830 E Chase Ave
Salt Lake City, UT 84102-3611
Phone (409) 225-7803

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
10507240-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Feller Behavioral Health Services Clinical PastSince Jun 28, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1508462144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E CHASE AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023611",
            "telephone_number": "409-225-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S 700 E STE 11",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052124",
            "telephone_number": "385-313-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENAX",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10507240-3501",
            "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 Oct 8, 2021; 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.