Active NPI
Angela Marie Clarke
- Social Worker
- Salt Lake City, UT
National Provider Identifier
1669793501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7693497-3502
- Practice address
- 443 S 600 E
Salt Lake City, UT 84102-2708 - Phone
- (801) 538-2057
- NPI assigned
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7693497-3502 | UT | Primary |
Addresses
Primary practice location
443 S 600 E
Salt Lake City, UT 84102-2708
Mailing address
443 S 600 E
Salt Lake City, UT 84102-2708
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7693497-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1669793501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 S 600 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 S 600 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022708",
"telephone_number": "801-538-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "ANGELA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "7693497-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.