Organization Active NPI

Child & Family Empowerment Services, LLC

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1568424828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
136834-3501 Issued in UT
Legal business name
CHILD & FAMILY EMPOWERMENT SERVICES, LLC
Practice address
1578 W 1700 S
Suite #200
Salt Lake City, UT 84104-3470
Phone
(801) 972-2711
Fax
(801) 972-2709
NPI assigned
Apr 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Leilani Anne Taholo, LCSWNPI 1700198462
Title
Owner/Clinical Director
Phone
(801) 972-2711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 136834-3501 UT Primary

Addresses

Primary practice location

1578 W 1700 S
Suite #200
Salt Lake City, UT 84104-3470

Mailing address

1578 W 1700 S
Suite #200
Salt Lake City, UT 84104-3470
Phone (801) 972-2711

Other identifiers 1

IdentifierTypeStateIssuer
788007788049MedicaidUT

National Provider Directory

National Provider Directory

Locations

1578 W 1700 S
Ste 200
Slc, UT 84104
Phone (801) 682-3085

2832 W 4700 S
Ste C
Taylorsville, UT 84129
Phone (801) 968-1800

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568424828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 W 1700 S",
            "address_2": "SUITE #200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841043470",
            "telephone_number": "801-972-2711",
            "fax_number": "801-972-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 W 1700 S",
            "address_2": "SUITE #200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841043470",
            "telephone_number": "801-972-2711",
            "fax_number": "801-972-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & FAMILY EMPOWERMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAHOLO",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-972-2711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "136834-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788007788049",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.