Active NPI
Samantha Jean Powell, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1760091359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10336369-3501
- Practice address
- 2000 Circle of Hope Dr
Salt Lake City, UT 84112-5550 - Phone
- (801) 587-4732
- Fax
- (801) 581-3815
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 10336369-3501 | UT | Primary |
Addresses
Primary practice location
2000 Circle of Hope Dr
Salt Lake City, UT 84112-5550
Mailing address
3377 W Crown St
Taylorsville, UT 84129-7820
Phone (801) 712-3167
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Samantha.Powell@hci.utah.edu | Direct | |
| Direct Messaging Address | spowell180966@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
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)
- Enrolled
Interoperability endpoints
- spowell180966@direct.med.utah.edu
- samantha.powell@hci.utah.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1760091359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3377 W CROWN ST",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841297820",
"telephone_number": "801-712-3167",
"fax_number": "801-581-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CIRCLE OF HOPE DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841125550",
"telephone_number": "801-587-4732",
"fax_number": "801-581-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "SAMANTHA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "10336369-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Samantha.Powell@hci.utah.edu",
"affiliation": "N",
"endpointDescription": "Huntsman Cancer Institute PHI email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2000 Circle Of Hope Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841125550",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spowell180966@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "UNIVERSITY OF UTAH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.