Active NPI
Marisa McPeck-Stringham, SSW
- Social Worker
- Layton, UT
National Provider Identifier
1760099733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6849374-3503
- Practice address
- 1133 N Main St Ste 128
Layton, UT 84041-4830 - Phone
- (801) 541-7049
- NPI assigned
- Sep 24, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6849374-3503 | UT | Primary |
Addresses
Primary practice location
1133 N Main St Ste 128
Layton, UT 84041-4830
Mailing address
1133 N Main St Ste 128
Layton, UT 84041-4830
Phone (801) 541-7049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6849374-3503 | Other | UT | SSW |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SimplePractice | Direct |
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 |
|---|---|---|---|
| 6849374-3503 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiconi Counseling Center | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Layton, UT
- NPI 1861050783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1760099733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 N MAIN ST STE 128",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414830",
"telephone_number": "801-541-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 N MAIN ST STE 128",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414830",
"telephone_number": "801-541-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPECK-STRINGHAM",
"first_name": "MARISA",
"credential": "SSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "6849374-3503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSW",
"identifier": "6849374-3503",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SimplePractice",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "1133 N Main St Ste 128",
"city": "Layton",
"state": "UT",
"country_code": "US",
"postal_code": "840414830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.