Active NPI
Tara Celine Byrne, CSW
- Clinical Social Worker
- Bluffdale, UT
National Provider Identifier
1578285201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 14241 S Redwood Rd Ste 100
Bluffdale, UT 84065-5223 - Phone
- (801) 816-1801
- NPI assigned
- Sep 19, 2022
- Last updated
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
14241 S Redwood Rd Ste 100
Bluffdale, UT 84065-5223
Mailing address
1088 S 500 E Apt 2
Salt Lake City, UT 84105-1137
Phone (914) 384-6733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12919321-3502 | Other | UT | DOPL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a Christensen PHD & Associates, Inc | Current | Accepting new patients |
Locations
14241 S Redwood Rd
Ste 100
Bluffdale, UT 84065
Phone (801) 816-1801
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1578285201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 S 500 E APT 2",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051137",
"telephone_number": "914-384-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14241 S REDWOOD RD STE 100",
"city": "BLUFFDALE",
"state": "UT",
"postal_code": "840655223",
"telephone_number": "801-816-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "TARA",
"middle_name": "CELINE",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOPL",
"identifier": "12919321-3502",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluffdale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.