Individual provider Active NPI

Sloane Smith, LCSW

  • Clinical Social Worker
  • Midvale, UT
National Provider Identifier
1598734139
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1390103501 Issued in UT
Practice address
7321 South State Street
Suite a
Midvale, UT 84047-6105
Phone
(801) 878-4327
Fax
(801) 878-9280
NPI assigned
Mar 16, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 1390103501 UT Primary

Addresses

Primary practice location

7321 South State Street
Suite a
Midvale, UT 84047-6105

Mailing address

7321 South State Street
Suite a
Midvale, UT 84047-6105
Phone (801) 878-4327

Other identifiers 1

IdentifierTypeStateIssuer
1390103501OtherUTSTATE PROFESSIONAL LICENS

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
I20040610001170 UT Practitioner - Clinical Social Worker 3678556669 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
Group practices
Jennifer Fairbourn LMFT LLCGroup PAC ID 5294116455, 7 clinicians

Practice addresses (Care Compare)

7321 S State St
Suite a
Midvale, UT 84047-6105
Phone (801) 878-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1390103501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Fairbourn LMFT, LLC CurrentSince Jul 1, 2022 Accepting new patients
Children's Service Society of Utah Past Accepting new patients

Locations

7321 S State St
Ste A
Midvale, UT 84047
Phone (801) 878-4327

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1598734139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 SOUTH STATE STREET",
            "address_2": "SUITE A",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476105",
            "telephone_number": "801-878-4327",
            "fax_number": "801-878-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 SOUTH STATE STREET",
            "address_2": "SUITE A",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476105",
            "telephone_number": "801-878-4327",
            "fax_number": "801-878-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SLOANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1390103501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROFESSIONAL LICENS",
            "identifier": "1390103501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.