Individual provider Active NPI

Julare Ann Morris, CSW

  • Clinical Social Worker
  • Millcreek, UT
National Provider Identifier
1689394108
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12927428-3502 Issued in UT
Practice address
4505 S Wasatch Blvd Ste 260
Millcreek, UT 84124-4800
Phone
(801) 905-1242
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12927428-3502 UT Primary

Addresses

Primary practice location

4505 S Wasatch Blvd Ste 260
Millcreek, UT 84124-4800

Mailing address

4505 S Wasatch Blvd Ste 260
Millcreek, UT 84124-4800

Other practice location 1

70 N Main St
Ste 104
Bountiful, UT 84010-6115
Phone (801) 298-5222

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

State licenses

LicenseStateTypeSpecialty
12927428-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liberated Mind Counseling and Health Center CurrentSince Jun 25, 2024 Accepting new patients
Resolutions, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1689394108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD STE 260",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841244800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD STE 260",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841244800",
            "telephone_number": "801-905-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 N Main St",
            "address_2": "Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840106115",
            "country_code": "US",
            "telephone_number": "801-298-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JULARE",
        "middle_name": "ANN",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12927428-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millcreek, UT

Sources for this page

Verify at the official NPI Registry.