Active NPI
Julie A Pinchak, LCSW
- Clinical Social Worker
- Hill Afb, UT
National Provider Identifier
1750570529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 33370
- Practice address
- 7329 11TH St BLDG 547
75 Mdos/Sgohf
Hill Afb, UT 84056-5012 - Phone
- (801) 777-3497
- Fax
- (801) 586-4011
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 33370 | TX | Primary |
Addresses
Primary practice location
7329 11TH St BLDG 547
75 Mdos/Sgohf
Hill Afb, UT 84056-5012
Mailing address
7329 11TH St BLDG 547
75 Mdos/Sgohf
Hill Afb, UT 84056-5012
Phone (801) 777-3497
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33370 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1750570529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7329 11TH ST BLDG 547",
"address_2": "75 MDOS/SGOHF",
"city": "HILL AFB",
"state": "UT",
"postal_code": "840565012",
"telephone_number": "801-777-3497",
"fax_number": "801-586-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7329 11TH ST BLDG 547",
"address_2": "75 MDOS/SGOHF",
"city": "HILL AFB",
"state": "UT",
"postal_code": "840565012",
"telephone_number": "801-777-3497",
"fax_number": "801-586-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCHAK",
"first_name": "JULIE",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "33370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hill Afb, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.