Individual provider Active NPI

Anne Evans-Cazier, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1558457481
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5970882-3501 Issued in UT
Practice address
1308 S 1700 E
Suite 210
Salt Lake City, UT 84108-2273
Phone
(801) 419-3312
Fax
(801) 907-7162
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

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 5970882-3501 UT Primary

Addresses

Primary practice location

1308 S 1700 E
Suite 210
Salt Lake City, UT 84108-2273

Mailing address

1308 S 1700 E
Suite 210
Salt Lake City, UT 84108-2273
Phone (801) 419-3312

Other identifiers 2

IdentifierTypeStateIssuer
2033511138AECOtherUTEDUCATORS MUTUAL
59708823500001OtherUTREGENCE BXBS

Other names 1

  • Anne Evans Brown Former name

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.
Opted out of Medicare
Yes, effective Apr 1, 2021 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5970882-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1558457481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 S 1700 E",
            "address_2": "SUITE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082273",
            "telephone_number": "801-419-3312",
            "fax_number": "801-907-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 S 1700 E",
            "address_2": "SUITE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082273",
            "telephone_number": "801-419-3312",
            "fax_number": "801-907-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-CAZIER",
        "first_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5970882-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "2033511138AEC",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BXBS",
            "identifier": "59708823500001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BROWN",
            "middle_name": "EVANS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.