Individual provider Active NPI

Jeffrey Allen Langworthy, S.S.W.

  • Case Manager/Care Coordinator
  • Riverton, UT
National Provider Identifier
1679871289
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
7187196-3503 Issued in UT
Practice address
1262 W 12700 S Ste D
Riverton, UT 84065-7830
Phone
(385) 468-4610
NPI assigned
Mar 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7187196-3503 UT
Case Manager/Care Coordinator 171M00000X 7187196-3503 UT Primary

Addresses

Primary practice location

1262 W 12700 S Ste D
Riverton, UT 84065-7830

Mailing address

1262 W 12700 S Ste D
Riverton, UT 84065-7830
Phone (385) 468-4610

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
7187196-3503UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1679871289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 W 12700 S STE D",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657830",
            "telephone_number": "385-468-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 W 12700 S STE D",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657830",
            "telephone_number": "385-468-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGWORTHY",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "S.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-05",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7187196-3503",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": "7187196-3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.