Organization Active NPI

Kathleen Fitzwilliam Lakey LLC

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1750826913
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7698951-3501 Issued in UT
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

Updated by the provider on Dec 30, 2016

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.