Active NPI
Kathy J Adams, LCSW
- Clinical Social Worker
- Taylorsville, UT
National Provider Identifier
1730100272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1045573501
- Practice address
- 5770 S 1500 W
Taylorsville, UT 84123-5216 - Phone
- (801) 265-3109
- NPI assigned
- Jul 21, 2006
- Last updated
- Nov 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1045573501 | UT | Primary |
Addresses
Primary practice location
5770 S 1500 W
Taylorsville, UT 84123-5216
Mailing address
1225 East Fort Union Blvd
Suite 215
Cottonwood Heights, UT 84047
Phone (801) 265-3109
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1045573501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1730100272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 EAST FORT UNION BLVD",
"address_2": "SUITE 215",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "84047",
"telephone_number": "801-265-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 S 1500 W",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235216",
"telephone_number": "801-265-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "KATHY",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "1045573501",
"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 Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.