Individual provider Active NPI

Esme Van Pletzen, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1548504350
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7940876-3501 Issued in UT
Practice address
124 S 400 E Ste 250
Salt Lake City, UT 84111-5315
Phone
(801) 577-0958
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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 7940876-3501 UT Primary

Addresses

Primary practice location

124 S 400 E Ste 250
Salt Lake City, UT 84111-5315

Mailing address

124 S 400 E Ste 250
Salt Lake City, UT 84111-5315
Phone (801) 577-0958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Potential CurrentSince Dec 15, 2019 Accepting new patients

Locations

265 E 100 S
Ste 250
Slc, UT 84111
Phone (801) 483-2447

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1548504350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S 400 E STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841115315",
            "telephone_number": "801-577-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S 400 E STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841115315",
            "telephone_number": "801-577-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PLETZEN",
        "first_name": "ESME",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7940876-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.