The Salt Lake Marital and Family Therapy Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126354-3501 Issued in UT

Legal business name

THE SALT LAKE MARITAL AND FAMILY THERAPY CLINIC

Practice address

1399 S 700 E
Suite #11
Salt Lake City, UT 84105-2149

Phone

(801) 521-5068

Fax

(801) 521-7021

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Margaret L Thompson, MSW

Title

Director

Phone

(801) 521-5068

Specialties & licenses 1

Addresses

Tax ID family

Salt Lake Marital Family Therapy Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Salt Lake Marital & Family Therapy Clinic

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1578967642
  NPD tax ID

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720120249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 S 700 E",
            "address_2": "SUITE #11",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052149",
            "telephone_number": "801-521-5068",
            "fax_number": "801-521-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S 700 E",
            "address_2": "SUITE #11",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052149",
            "telephone_number": "801-521-5068",
            "fax_number": "801-521-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALT LAKE MARITAL AND FAMILY THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-521-5068",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "126354-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, 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 Aug 22, 2020; 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.