Individual provider Active NPI

Elizabeth Cain, CSWI, MSW

  • Clinical Social Worker
  • Layton, UT
National Provider Identifier
1619195799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6490586-3506 Issued in UT
Practice address
2250 Robins Dr
Layton, UT 84041-1140
Phone
(801) 773-7060
Fax
(801) 774-6100
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6490586-3506 UT Primary

Addresses

Primary practice location

2250 Robins Dr
Layton, UT 84041-1140

Mailing address

3550 Jackson Ave
Ogden, UT 84403-1106
Phone (801) 916-5487

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
I20091002000396 UT Practitioner - Clinical Social Worker 9830235936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6490586-3506UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 8, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 8, 2024 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619195799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 JACKSON AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031106",
            "telephone_number": "801-916-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 ROBINS DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411140",
            "telephone_number": "801-773-7060",
            "fax_number": "801-774-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "ELIZABETH",
        "credential": "CSWI, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6490586-3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.