Active NPI
Kathleen Fitzwilliam Lakey LLC
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1750826913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7698951-3501
- Legal business name
- KATHLEEN FITZWILLIAM LAKEY LLC
- Practice address
- 275 E South Temple
Suite 101
Salt Lake City, UT 84111-1247 - Phone
- (385) 218-8266
- Fax
- (801) 364-1433
- NPI assigned
- Dec 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Fitzwilliam Lakey, LCSW
- Title
- Owner
- Phone
- (385) 218-8266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7698951-3501 | UT | Primary |
Addresses
Primary practice location
275 E South Temple
Suite 101
Salt Lake City, UT 84111-1247
Mailing address
275 E South Temple
Suite 101
Salt Lake City, UT 84111-1247
Phone (385) 218-8266
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483056000000",
"number": "1750826913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 E SOUTH TEMPLE",
"address_2": "SUITE 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111247",
"telephone_number": "385-218-8266",
"fax_number": "801-364-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 E SOUTH TEMPLE",
"address_2": "SUITE 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111247",
"telephone_number": "385-218-8266",
"fax_number": "801-364-1433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN FITZWILLIAM LAKEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-27",
"last_updated": "2016-12-30",
"status": "A",
"authorized_official_last_name": "LAKEY",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "FITZWILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "385-218-8266",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "7698951-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.