Individual provider Active NPI

Bobbi Anne Fosburg, LCSW

  • Clinical Social Worker
  • Park City, UT
National Provider Identifier
1558640276
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8274828-3502 Issued in UT
Practice address
3070 Rasmussen Rd Ste 170
Park City, UT 84098-5519
Phone
(435) 640-3420
NPI assigned
Aug 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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 8274828-3502 UT Primary

Addresses

Primary practice location

3070 Rasmussen Rd Ste 170
Park City, UT 84098-5519

Mailing address

5944 Market St Apt H
Park City, UT 84098-7979
Phone (435) 640-3420

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
I20141002000648 UT Practitioner - Clinical Social Worker 5698995272 Practice locations: Park City, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8274828-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bobbi Fosburg Psychotherapy, LLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

3070 Rasmussen Rd
Ste 170
Park City, UT 84098
Phone (310) 384-0086

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": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1558640276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 MARKET ST APT H",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987979",
            "telephone_number": "435-640-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 RASMUSSEN RD STE 170",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985519",
            "telephone_number": "435-640-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSBURG",
        "first_name": "BOBBI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8274828-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.