Individual provider Active NPI

Catherine Marguerite Nelson

  • Social Worker
  • Logan, UT
National Provider Identifier
1780345074
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11439883-3502 Issued in UT
Practice address
175 W 1400 N
Suite a
Logan, UT 84341
Phone
(435) 752-5302
NPI assigned
Jan 7, 2022
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11439883-3502 UT Primary

Addresses

Primary practice location

175 W 1400 N
Suite a
Logan, UT 84341

Mailing address

175 W 1400 N Ste a
Logan, UT 84341-6816
Phone (435) 752-5302

Other names 1

  • Catherine Marguerite Peterson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.bluestep.net/shared/custompage/custompage.jsp?_event=view&_id=445505_U126601__162340 Other

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

LicenseStateTypeSpecialty
11439883-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LDS Family Services PastSince Jan 17, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1780345074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W 1400 N STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416816",
            "telephone_number": "435-752-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 1400 N",
            "address_2": "SUITE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-752-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CATHERINE",
        "middle_name": "MARGUERITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11439883-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.bluestep.net/shared/custompage/custompage.jsp?_event=view&_id=445505_U126601__162340",
            "affiliation": "N",
            "endpointDescription": "Enterprise platform",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Use URL for Blue Step",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Web Based Application",
            "address_1": "175 W 1400 N Ste A",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843416816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "PETERSON",
            "middle_name": "MARGUERITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.