Lakiesha Shawan Fehoko

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8663200-3501 Issued in UT

Practice address

547 W 3900 S
Salt Lake City, UT 84123-7100

Phone

(801) 265-8000

Fax

(801) 265-8004

NPI assigned

Nov 29, 2020

Last updated

Nov 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lakiesha Shawan Lanier Former name

Medicare fee-for-service enrollment

Enrolled in UT

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Thrive on Counseling LLC

  • Clinical Social Worker
  • Orem, UT
  • NPI 1457175705
  Medicare reassignment NPD
• Assessment, Counseling & Educational Services

  dba Aces

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1003997701
  NPD (past)

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1730783960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 W 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841237100",
            "telephone_number": "801-265-8000",
            "fax_number": "801-265-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 W 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841237100",
            "telephone_number": "801-265-8000",
            "fax_number": "801-265-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHOKO",
        "first_name": "LAKIESHA",
        "middle_name": "SHAWAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8663200-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKIESHA",
            "last_name": "LANIER",
            "middle_name": "SHAWAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane S Fedorchak, CNM
• Olivia Feehan
• Michael Feeney
• Amy Lynn Fehlberg, PHD
• Cory R Fehlberg, M.A., LMFT
• John W. Feig, RPT
• Marissa Rhea Feigley
• Janine Feil, R.N.
• Rachel Feinberg
• Joseph Samuel Felder, PA-C

• 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 Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.