Center for Individual Responsibility

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3332853501 Issued in UT

Legal business name

CENTER FOR INDIVIDUAL RESPONSIBILITY

Practice address

312 S Main St
Tooele, UT 84074-2746

Phone

(435) 841-9177

Fax

(435) 882-7330

NPI assigned

May 31, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Molly G Prince, LCSWNPI 1396700548

Title

Owner, Therapist

Phone

(801) 680-4705

Specialties & licenses 1

Addresses

Other names 1

• CIRCLE Treatment Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Molly George Prince, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1396700548
  Medicare reassignment NPD Authorized official
• April Alice Butler, CPCI

  • Mental Health Counselor
  • Tooele, UT
  • NPI 1407168651
  NPD (past)
• Stephanie R Depaoli, LCSW

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1497711352
  NPD (past)

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

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267228800000",
    "number": "1700012192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 CLEVELAND AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151510",
            "telephone_number": "435-841-9177",
            "fax_number": "435-882-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742746",
            "telephone_number": "435-841-9177",
            "fax_number": "435-882-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INDIVIDUAL RESPONSIBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-31",
        "last_updated": "2010-02-27",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "801-680-4705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3332853501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIRCLE Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dalton Carter, DPT
• Trisha D Carter, CASE MANAGER
• Blaine Johnson Cashmore, MD
• Cedar Creek Family Health Care LLC
• Barbara T Cederlof
• Shauna R. Chacon
• Norhan Aziz Chacopulos
• Chelsie M Chadwick Haynes
• Tami Chavez
• Shane Cheney, RRT

• Clinical Social Worker in Tooele, UT
• Providers in Tooele, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.