Individual provider Active NPI

Sandra Lynn Downard

  • Social Worker
  • Ogden, UT
National Provider Identifier
1649544537
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7613704-3502 Issued in UT
Practice address
2036 Lincoln Ave Ste 102
Ogden, UT 84401-6516
Phone
(801) 719-7737
NPI assigned
Feb 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7613704-3502 UT Primary

Addresses

Primary practice location

2036 Lincoln Ave Ste 102
Ogden, UT 84401-6516

Mailing address

2036 Lincoln Ave Ste 102
Ogden, UT 84401-6516
Phone (801) 719-7737

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7613704-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Preventative Health PLLC CurrentSince Sep 18, 2024 Accepting new patients
Alan Brooks Crossroads Past Accepting new patients

Locations

2036 Lincoln Ave
Ste 102
Ogden, UT 84401
Phone (253) 279-7924

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1649544537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 LINCOLN AVE STE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016516",
            "telephone_number": "801-719-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 LINCOLN AVE STE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016516",
            "telephone_number": "801-719-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNARD",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "7613704-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.