Katherine Sun Ae Mason, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8635806-3501 Issued in UT

Practice address

1354 E 3300 S Ste 100
Salt Lake City, UT 84106-3083

Phone

(801) 265-8000

Fax

(801) 265-8004

NPI assigned

Sep 22, 2020

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katey Mason Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beacon Therapy of Utah

  • Clinical Social Worker
  • Taylorsville, UT
  • NPI 1265149637
  NPD
• Thrive on Counseling LLC

  • Clinical Social Worker
  • Orem, UT
  • NPI 1457175705
  NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1649886920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 E 3300 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063083",
            "telephone_number": "801-265-8000",
            "fax_number": "801-265-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 E 3300 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063083",
            "telephone_number": "801-265-8000",
            "fax_number": "801-265-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KATHERINE",
        "middle_name": "SUN AE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8635806-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATEY",
            "last_name": "MASON",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dzana Masic
• David R Masihdas, O D P C
• Marissa Ann Masihdas
• Ashley Mason
• Jenny Farley Mason, FNP
• Lauren Mason
• Monica Mason
• Whitney Ann Mason, PA-S
• Massage by Jenni, LLC
• Oceane Massamba

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.