Active NPI
Nicole Alise Wharton, LCSW
- Social Worker
- Taylorsville, UT
National Provider Identifier
1689910895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8066223-3502
- Practice address
- 1760 W 4805 S
Taylorsville, UT 84129-1177 - Phone
- (801) 955-9110
- NPI assigned
- Dec 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8066223-3502 | UT | Primary |
Addresses
Primary practice location
1760 W 4805 S
Taylorsville, UT 84129-1177
Mailing address
4866 S Highland Cir
#2
Holladay, UT 84117-6039
Phone (925) 548-6598
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8066223-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1689910895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4866 S HIGHLAND CIR",
"address_2": "#2",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841176039",
"telephone_number": "925-548-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 W 4805 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841291177",
"telephone_number": "801-955-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHARTON",
"first_name": "NICOLE",
"middle_name": "ALISE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "8066223-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.