Mary Beth Whittaker LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

130283-3501 Issued in UT

Legal business name

MARY BETH WHITTAKER LCSW

Practice address

2290 E 4500 S
Suite 210
Holladay, UT 84117-4492

Phone

(801) 272-3533

Fax

(801) 272-3636

NPI assigned

Sep 19, 2015

Last updated

Sep 19, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Beth Whittaker, LCSW

Title

Owner

Phone

(801) 272-3533

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442620800000",
    "number": "1538538525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 E 4500 S",
            "address_2": "SUITE 210",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174492",
            "telephone_number": "801-272-3533",
            "fax_number": "801-272-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 E 4500 S",
            "address_2": "SUITE 210",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174492",
            "telephone_number": "801-272-3533",
            "fax_number": "801-272-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BETH WHITTAKER LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-19",
        "last_updated": "2015-09-19",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-272-3533",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "130283-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Louise Lovell, LCSW
• Diane Lucas, DNP, APRN, FNP-BC
• Rixt Anna Catharina Luikenaar, MD
• Lumicare Health Ut1 LLC
• Conrad H Ma, PT, DPT
• Michelle Maxwell
• Steiner May
• Mazzola Dascomb P.C.
• Tara McArthur, CSW
• Katharine E McCarthy, P.A.

• Clinical Social Worker in Holladay, UT
• Providers in Holladay, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; 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.