Renea Nilsson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14072833-3501 Issued in UT

Practice address

150 N Main St Ste 204E
Heber City, UT 84032-1671

Phone

(435) 709-6282

NPI assigned

Sep 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1780410324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840320111",
            "telephone_number": "435-709-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MAIN ST STE 204E",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321671",
            "telephone_number": "435-709-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "RENEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14072833-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Moyer
• Samuel Vinent Murphy, DPT
• Kathryn M. Murray, M.D.
• John H Nebeker, PT
• New Focus Academy
• Cody Dale Nix, D.C.
• Erika Noonan, M.D.
• Ruth Annette Norlen, R.N.
• Andrew Aaron Nyberg, M.D.
• Morgan Oliver

• Clinical Social Worker in Heber City, UT
• Providers in Heber City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.