Guadalupe Shober, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6333334-3501 Issued in UT

Practice address

1108 W South Jordan Pkwy Ste C
South Jordan, UT 84095-5505

Phone

(801) 856-4647

Fax

(801) 634-5334

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Asian Association of Utah

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
  • NPI 1386733277
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1679664957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10094 S WASATCH BLVD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924572",
            "telephone_number": "801-634-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W SOUTH JORDAN PKWY STE C",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955505",
            "telephone_number": "801-856-4647",
            "fax_number": "801-634-5334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 S 300 W",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841011217",
            "country_code": "US",
            "telephone_number": "801-990-9453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOBER",
        "first_name": "GUADALUPE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "63333343506",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6333334-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shed RX LLC
• Heather Shelline
• Jaylynn Dixie Shepherd
• Breeonah Elaine Sherriff, NURSE PRACTITIONER
• Sky Shipley, RBT
• Chelsie Shortt
• Sanna Silverek
• Anne Simmons
• Jeffrey Lynn Simmons, OD
• Simply Dental of South Jordan, LLC

• Clinical Social Worker in South Jordan, UT
• Providers in South Jordan, 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 Apr 12, 2018; 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.