Individual provider Active NPI

Breeann Berger Hamp, CSW

  • Clinical Social Worker
  • West Valley City, UT
National Provider Identifier
1659880763
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10498825-3502 Issued in UT
Practice address
3336 S Pioneer Pkwy Ste 201
West Valley City, UT 84120-2085
Phone
(801) 313-0555
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10498825-3502 UT Primary

Addresses

Primary practice location

3336 S Pioneer Pkwy Ste 201
West Valley City, UT 84120-2085

Mailing address

3336 S Pioneer Pkwy Ste 201
West Valley City, UT 84120-2085
Phone (801) 313-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180111002741 UT Practitioner - Clinical Social Worker 2668731944 Reassigns benefits to 1 organization
I20221209001445 GA Practitioner - Clinical Social Worker 2668731944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10498825-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Counseling and Consulting CurrentSince Apr 1, 2022 Accepting new patients

Locations

4516 S 700 E
Ste 160
Salt Lake City, UT 84107
Phone (435) 300-1390

8821 S Redwood Rd
Ste A
West Jordan, UT 84088
Phone (435) 300-1390

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.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659880763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 S PIONEER PKWY STE 201",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202085",
            "telephone_number": "801-313-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 S PIONEER PKWY STE 201",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202085",
            "telephone_number": "801-313-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMP",
        "first_name": "BREEANN",
        "middle_name": "BERGER",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10498825-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.