Individual provider Active NPI

Amanda Joanne Moxley

  • Clinical Social Worker
  • Cottonwood Heights, UT
National Provider Identifier
1689462301
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5740771-350 Issued in UT
Practice address
7820 S la Barranca CT
Cottonwood Heights, UT 84121-5613
Phone
(801) 599-9194
Fax
(801) 599-9194
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 5740771-350 UT Primary

Addresses

Primary practice location

7820 S la Barranca CT
Cottonwood Heights, UT 84121-5613

Mailing address

7820 S la Barranca CT
Salt Lake City, UT 84121-5613
Phone (801) 599-9194

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
5740771-350UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1689462301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 S LA BARRANCA CT",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215613",
            "telephone_number": "801-599-9194",
            "fax_number": "801-599-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 S LA BARRANCA CT",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215613",
            "telephone_number": "801-599-9194",
            "fax_number": "801-599-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOXLEY",
        "first_name": "AMANDA",
        "middle_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5740771-350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.