Individual provider Active NPI

Cecilia Ann Loepker, CSW

  • Social Worker
  • Ogden, UT
National Provider Identifier
1649825126
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
84479525-3502 Issued in UT
Practice address
2557 Lincoln Ave
Ogden, UT 84401-1307
Phone
(801) 622-5272
Fax
(801) 622-5256
NPI assigned
Aug 2, 2019
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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 84479525-3502 UT Primary

Addresses

Primary practice location

2557 Lincoln Ave
Ogden, UT 84401-1307

Mailing address

2334 Monroe Blvd Apt 710
Ogden, UT 84401-1728
Phone (801) 389-3343

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
84479525-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorphosis Ogden, Inc. PastSince Aug 6, 2019 Accepting new patients
Baymark Health Services of Utah, Inc. PastSince Aug 6, 2019 Accepting new patients

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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1649825126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 MONROE BLVD APT 710",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011728",
            "telephone_number": "801-389-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 LINCOLN AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011307",
            "telephone_number": "801-622-5272",
            "fax_number": "801-622-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEPKER",
        "first_name": "CECILIA",
        "middle_name": "ANN",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "84479525-3502",
            "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 Aug 2, 2019; 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.