Active NPI
Lorraine S Kilpatrick, LCSW
- Clinical Social Worker
- Midvale, UT
National Provider Identifier
1528089711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 126297-3501
- Practice address
- 6925 Union Park Ctr
Suite 490
Midvale, UT 84047-4142 - Phone
- (801) 566-2622
- Fax
- (801) 566-0536
- NPI assigned
- Jul 22, 2006
- 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 | 126297-3501 | UT | Primary |
Addresses
Primary practice location
6925 Union Park Ctr
Suite 490
Midvale, UT 84047-4142
Mailing address
6925 Union Park Ctr
Suite 490
Midvale, UT 84047-4142
Phone (801) 566-2622
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 |
|---|---|---|---|
| 126297-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528089711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6925 UNION PARK CTR",
"address_2": "SUITE 490",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840474142",
"telephone_number": "801-566-2622",
"fax_number": "801-566-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6925 UNION PARK CTR",
"address_2": "SUITE 490",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840474142",
"telephone_number": "801-566-2622",
"fax_number": "801-566-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "LORRAINE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "126297-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.