Active NPI
Barbara Ann Scoville, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1538149141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4927001-3501
- Practice address
- 5635 South Waterbury Way
Suite C-202
Salt Lake City, UT 84121 - Phone
- (801) 278-0200
- Fax
- (801) 273-0320
- NPI assigned
- Jan 19, 2006
- Last updated
- Jul 8, 2007
- 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 | 4927001-3501 | UT | Primary |
Addresses
Primary practice location
5635 South Waterbury Way
Suite C-202
Salt Lake City, UT 84121
Mailing address
9729 Sweet Blossom Dr
South Jordan, UT 84095-3217
Phone (801) 253-3606
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942938348BS1 | Other | UT | EDUCATORS MUTUAL |
| 107018310101 | Other | UT | INTERMOUNTAIN HEALTHCARE |
| 802653 | Other | UT | DESERET MUTUAL |
| 942938348003 | Other | UT | CHAMPUS |
| QO7203 | Other | UT | ICAR |
| 49270013501 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5635 S Waterbury Way
Salt Lake City, UT 84121-6210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Scoville LLC | Clinical | Current | Accepting new patients |
| Valley Behavioral Health Incorporated | Clinical | Past | Accepting new patients |
Locations
5635 S Waterbury Way
Ste C202
Salt Lake City, UT 84121
Phone (801) 278-0200
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1679961346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538149141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9729 SWEET BLOSSOM DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953217",
"telephone_number": "801-253-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5635 SOUTH WATERBURY WAY",
"address_2": "SUITE C-202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-278-0200",
"fax_number": "801-273-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOVILLE",
"first_name": "BARBARA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "4927001-3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "942938348BS1",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERMOUNTAIN HEALTHCARE",
"identifier": "107018310101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "802653",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "942938348003",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICAR",
"identifier": "QO7203",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49270013501",
"state": "UT"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.