Individual provider Active NPI

Keith Timothy Einfeldt, LCSW

  • Clinical Social Worker
  • Cedar City, UT
National Provider Identifier
1548327158
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
271304-3501 Issued in UT
Practice address
115 N Main St Ste 204
Cedar City, UT 84720-2674
Phone
(435) 865-1188
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 271304-3501 UT Primary

Addresses

Primary practice location

115 N Main St Ste 204
Cedar City, UT 84720-2674

Mailing address

23 S Cove Dr
Cedar City, UT 84720-8229
Phone (435) 865-1188

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000529 UT Practitioner - Clinical Social Worker 8325208473 Practice locations: Cedar City, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 N Main St
Suite 204
Cedar City, UT 84720-2674
Phone (435) 865-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
271304-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548327158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S COVE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847208229",
            "telephone_number": "435-865-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST STE 204",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847202674",
            "telephone_number": "435-865-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINFELDT",
        "first_name": "KEITH",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "271304-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.