Individual provider Active NPI

Ethan Rowe, CSW

  • Clinical Social Worker
  • Cottonwood Heights, UT
National Provider Identifier
1811614902
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11860143-3502 Issued in UT
Practice address
7430 S Wasatch Blvd Apt I2
Cottonwood Heights, UT 84121-4649
Phone
(206) 909-0122
NPI assigned
Oct 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11860143-3503 UT
Clinical Social Worker 1041C0700X 11860143-3502 UT Primary

Addresses

Primary practice location

7430 S Wasatch Blvd Apt I2
Cottonwood Heights, UT 84121-4649

Mailing address

7430 S Wasatch Blvd Apt I2
Cottonwood Heights, UT 84121-4649
Phone (206) 909-0122

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ethan@grabmd.com GrabMD, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11860143-3502UTMDClinical Social Worker
11860143-3503UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grabmd, LLC PastSince Oct 1, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1811614902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 S WASATCH BLVD APT I2",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841214649",
            "telephone_number": "206-909-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 S WASATCH BLVD APT I2",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841214649",
            "telephone_number": "206-909-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "ETHAN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11860143-3503",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11860143-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ethan@grabmd.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "GrabMD, LLC",
            "address_1": "245 E 2150 N",
            "city": "LAYTON",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

Verify at the official NPI Registry.