Individual provider Active NPI

Emilie Cassan Havili, LCSW

  • Social Worker
  • West Jordan, UT
National Provider Identifier
1649582750
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7697743-3501 Issued in UT
Practice address
8831 S Redwood Rd
Ste. D-4
West Jordan, UT 84088-9283
Phone
(385) 419-1217
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7697743-3502 UT
School Social Worker 1041S0200X 555731 UT
Social Worker 104100000X 7697743-3501 UT Primary

Addresses

Primary practice location

8831 S Redwood Rd
Ste. D-4
West Jordan, UT 84088-9283

Mailing address

6144 W 8050 S
West Jordan, UT 84081-8204
Phone (801) 953-8073

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

LicenseStateTypeSpecialty
7697743-3502UTMDSocial Worker
555731UTMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1649582750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 W 8050 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840818204",
            "telephone_number": "801-953-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 S REDWOOD RD",
            "address_2": "STE. D-4",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889283",
            "telephone_number": "385-419-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVILI",
        "first_name": "EMILIE",
        "middle_name": "CASSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "7697743-3502",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "UT",
            "license": "555731",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "7697743-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.