Individual provider Active NPI

Kasi Michelle Good, LCSW

  • Clinical Social Worker
  • Pleasant Grove, UT
National Provider Identifier
1669038352
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11168100-3502 Issued in UT
Practice address
437 E 1000 S Ste 200
Pleasant Grove, UT 84062-3623
Phone
(801) 921-3619
Fax
(801) 373-0639
NPI assigned
May 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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 11168100-3502 UT Primary

Addresses

Primary practice location

437 E 1000 S Ste 200
Pleasant Grove, UT 84062-3623

Mailing address

3458 W 1420 N
Provo, UT 84601-6206
Phone (801) 636-5321

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
11168100-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Self Counseling CurrentSince Jun 1, 2021 Accepting new patients

Locations

437 E 1000 S
#200
Pleasant Grove, UT 84062
Phone (801) 921-3619

1837 N 1120 W
Provo, UT 84604

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": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1669038352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 W 1420 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846016206",
            "telephone_number": "801-636-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 E 1000 S STE 200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623623",
            "telephone_number": "801-921-3619",
            "fax_number": "801-373-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "KASI",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11168100-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.