Active NPI
Susan Lenee Birkner-Anderson, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1629057286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3468023501
- Practice address
- 1020 S Main St
Salt Lake City, UT 84101-3176 - Phone
- (801) 539-7000
- NPI assigned
- Jan 12, 2006
- 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 | 3468023501 | UT | Primary |
Addresses
Primary practice location
1020 S Main St
Salt Lake City, UT 84101-3176
Mailing address
2723 Delsa Dr
Salt Lake City, UT 84124-2005
Phone (801) 272-7044
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107032397101 | Other | UT | INTRMTN. HEALTH CARE |
| 942938348015 | Other | UT | CHAMPUS |
| 827404 | Other | UT | DESERET MUTUAL |
| 34680235000001 | Other | UT | BLUE CROSS |
Other names 1
- Sue Birkner
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3468023501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629057286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2723 DELSA DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841242005",
"telephone_number": "801-272-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S MAIN ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841013176",
"telephone_number": "801-539-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKNER-ANDERSON",
"first_name": "SUSAN",
"middle_name": "LENEE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "3468023501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTRMTN. HEALTH CARE",
"identifier": "107032397101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "942938348015",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "827404",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "34680235000001",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUE",
"last_name": "BIRKNER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.