Individual provider Active NPI

Marci L Phillips, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1730472283
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53362913501 Issued in UT
Practice address
2565 Wellington St
Salt Lake City, UT 84106-4009
Phone
(801) 467-2497
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 53362913501 UT Primary

Addresses

Primary practice location

2565 Wellington St
Salt Lake City, UT 84106-4009

Mailing address

220 E 3900 S Ste 16
Salt Lake City, UT 84107-1571
Phone (801) 268-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53362913501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Health Incorporated Clinical CurrentSince Nov 17, 2020 Accepting new patients
Valley Mental Health Incorporated Clinical Current Accepting new patients
CBTS Past Accepting new patients

Locations

1020 S Main St
Slc, UT 84101
Phone (801) 536-6500

4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1730472283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 3900 S STE 16",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071571",
            "telephone_number": "801-268-4044",
            "fax_number": "801-263-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 WELLINGTON ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064009",
            "telephone_number": "801-467-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARCI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "53362913501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.