Organization Active NPI

Barbara Scoville LLC

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1679961346
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BARBARA SCOVILLE LLC
Practice address
5635 S Waterbury Way
C202
Salt Lake City, UT 84121-1184
Phone
(801) 278-0200
Fax
(801) 273-0322
NPI assigned
Jan 5, 2015
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Barbara Scoville, LCSWNPI 1538149141
Title
President
Phone
(801) 910-5385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

5635 S Waterbury Way
C202
Salt Lake City, UT 84121-1184

Mailing address

5635 S Waterbury Way
C202
Salt Lake City, UT 84121-1184
Phone (801) 278-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150107000041 UT Part B Supplier - Clinic/Group Practice 2264755826 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

5635 S Waterbury Way
Ste C202
Salt Lake City, UT 84121
Phone (801) 278-0200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1679961346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 S WATERBURY WAY",
            "address_2": "C202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211184",
            "telephone_number": "801-278-0200",
            "fax_number": "801-273-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 S WATERBURY WAY",
            "address_2": "C202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211184",
            "telephone_number": "801-278-0200",
            "fax_number": "801-273-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA SCOVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "SCOVILLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-910-5385",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.