Individual provider Active NPI

Karen Beth Talbot, LCSW

  • Clinical Social Worker
  • Centerville, UT
National Provider Identifier
1578972998
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
AZ12379 Issued in AZ
Practice address
520 N Market Place Dr Ste 200
Centerville, UT 84014-4904
Phone
(801) 934-3373
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 138343-3501 UT
Clinical Social Worker 1041C0700X AZ12379 AZ Primary

Addresses

Primary practice location

520 N Market Place Dr Ste 200
Centerville, UT 84014-4904

Mailing address

520 N Market Place Dr Ste 200
Centerville, UT 84014-4904
Phone (801) 934-3373

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
I20210921002683 UT Practitioner - Clinical Social Worker 9335546126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Davis Psychological ServicesGroup PAC ID 0446511927, 17 clinicians

Practice addresses (Care Compare)

520 N Market Place Dr
Suite 200
Centerville, UT 84014-4904
Phone (801) 934-3373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ12379AZMDClinical Social Worker
138343-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Davis Psychological Services CurrentSince Aug 1, 2021 Accepting new patients
Neurorev PLLC CurrentSince Aug 1, 2021 Accepting new patients
Child & Family Services of Yuma, Inc Past Accepting new patients

Locations

520 N Market Place Dr
Ste 200
Centerville, UT 84014
Phone (801) 243-6822

1544 Woodland Park Dr
Ste 320
Layton, UT 84041
Phone (801) 556-4751

Organizations & group practices 3

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1578972998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MARKET PLACE DR STE 200",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840144904",
            "telephone_number": "801-934-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MARKET PLACE DR STE 200",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840144904",
            "telephone_number": "801-934-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "KAREN",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "138343-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "AZ12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, UT

Sources for this page

Verify at the official NPI Registry.