Organization Active NPI

Wasatch Family Therapy, LLC

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1689853251
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3331033501 Issued in UT
Legal business name
WASATCH FAMILY THERAPY, LLC
Practice address
7084 S 2300 E
Suite 120
Salt Lake City, UT 84121-3968
Phone
(801) 550-2741
NPI assigned
Oct 30, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Julie A Hanks, LCSW
Title
Owner/Director
Phone
(801) 944-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3331033501 UT Primary

Addresses

Primary practice location

7084 S 2300 E
Suite 120
Salt Lake City, UT 84121-3968

Mailing address

7084 S 2300 E
Suite 120
Salt Lake City, UT 84121-3968
Phone (801) 550-2741

National Provider Directory

National Provider Directory

Locations

7084 S 2300 E
Ste 120
Salt Lake City, UT 84121
Phone (801) 550-2741

Practitioners & affiliated clinicians

Practitioners 2

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1689853251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7084 S 2300 E",
            "address_2": "SUITE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213968",
            "telephone_number": "801-550-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7084 S 2300 E",
            "address_2": "SUITE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213968",
            "telephone_number": "801-550-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "801-944-4555",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3331033501",
            "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 Oct 30, 2007; 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.