Patricia Sue Coburn

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

135358-3501 Issued in UT

Practice address

170 S Interstate PLZ Ste 100
Lehi, UT 84043-8601

Phone

(385) 236-4500

NPI assigned

Aug 4, 2015

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Sue Broderick Former name

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arcadia Counseling LLCGroup PAC ID 9335672955, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arcadia Counseling LLC

  • Marriage & Family Therapist
  • Lehi, UT
  • NPI 1801478664

  Clinical

  Medicare reassignment Care Compare group NPD
• A Beautiful Life Therapy

  • Clinical Social Worker
  • Lindon, UT
  • NPI 1982510160
  NPD (past) Authorized official

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1588040273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 S MURDOCK DR",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623278",
            "telephone_number": "801-319-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S INTERSTATE PLZ STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840438601",
            "telephone_number": "385-236-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "135358-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BRODERICK",
            "middle_name": "SUE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Cluff
• Leslie C Cluff, DMSC, PA-C
• CM Dental LLC
• Jason Coakley, DMD
• Chelsea Ryanne Cobabe, RD
• Taeko Michelle Colbert
• Gretchen Nicole Colborn
• Kourtnee Coleman
• Madeline Nielson Collier, FNP-C
• Samantha Marlee Collins, FNP-C

• Clinical Social Worker in Lehi, UT
• Providers in Lehi, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.