Individual provider Active NPI

Sungah McGary, LCSW

  • Clinical Social Worker
  • Ammon, ID
National Provider Identifier
1669939401
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-44685 Issued in ID
Practice address
3456 E 17TH St Ste 270
Ammon, ID 83406-6749
Phone
(801) 655-5450
Fax
(385) 225-9327
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 12874681-3502 UT
Clinical Social Worker 1041C0700X LCSW-44685 ID Primary

Addresses

Primary practice location

3456 E 17TH St Ste 270
Ammon, ID 83406-6749

Mailing address

2750 Plommon St
Idaho Falls, ID 83402-5129
Phone (801) 631-9758

Other practice location 1

5691 S Redwood Rd Unit 15
Taylorsville, UT 84123-5485
Phone (801) 655-5450

Other practice location 2

2750 Plommon St
Idaho Falls, ID 83402-5129
Phone (801) 631-9758

Other practice location 3

357 W Center St Ste 270
Pocatello, ID 83204-3236
Phone (801) 655-5450

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Goshute Reservation CurrentSince Sep 20, 2022 Accepting new patients
Confederated Tribes of the Goshute Reservation CurrentSince Sep 20, 2022 Accepting new patients
Meadowbrook Counseling of Utah LLC Mental Health PastSince Jun 18, 2025 Accepting new patients
Confederated Tribes of the Goshute Reservation PastSince Jun 1, 2022 Accepting new patients
Volunteers of America of Utah Inc Past Accepting new patients

Locations

195 Tribal Center Rd
Ibapah, UT 84034
Phone (435) 234-1302

660 S 200 E
Ste 250
Slc, UT 84111
Phone (801) 395-2256

Organizations & group practices 5

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1669939401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 PLOMMON ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025129",
            "telephone_number": "801-631-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 E 17TH ST STE 270",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066749",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5691 S Redwood Rd Unit 15",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841235485",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Plommon St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834025129",
            "country_code": "US",
            "telephone_number": "801-631-9758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 W Center St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832043236",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGARY",
        "first_name": "SUNGAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12874681-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-44685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

Verify at the official NPI Registry.