Individual provider Active NPI

Charlotte Ann Richards, MSW, LCSW

  • Clinical Social Worker
  • American Fork, UT
National Provider Identifier
1689427106
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12590604-3501 Issued in UT
Practice address
556 E 300 S Ste 108
American Fork, UT 84003-3844
Phone
(801) 980-2566
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 12590604-3501 UT Primary

Addresses

Primary practice location

556 E 300 S Ste 108
American Fork, UT 84003-3844

Mailing address

556 E 300 S Ste 108
American Fork, UT 84003-3844
Phone (801) 980-2566

Other names 1

  • Charlotte Ann Scott Former name

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
12590604-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zest for Life Counseling Clinical CurrentSince Apr 14, 2024 Accepting new patients
Zest for Life Counseling - Holladay Clinical PastSince Jul 3, 2022 Accepting new patients
Zest for Life Counseling - St George PastSince Jul 28, 2024 Accepting new patients

Locations

556 E 300 S
Ste 108
American Fork, UT 84003
Phone (801) 980-2566

2046 E Murray Holladay Rd
Ste 101
Holladay, UT 84117
Phone (801) 980-2566

491 E Riverside Dr
Ste 3A
St George, UT 84790
Phone (801) 980-2566

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1689427106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 E 300 S STE 108",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033844",
            "telephone_number": "801-980-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 E 300 S STE 108",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033844",
            "telephone_number": "801-980-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "CHARLOTTE",
        "middle_name": "ANN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12590604-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "SCOTT",
            "middle_name": "ANN",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.