Active NPI
Ethan Rowe, CSW
- Clinical Social Worker
- Cottonwood Heights, UT
National Provider Identifier
1811614902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11860143-3502
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11860143-3502 | UT | MD | Clinical Social Worker |
| 11860143-3503 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grabmd, LLC | 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.
-
- Health Service Clinic/Center
- South Jordan, UT
- NPI 1730788654
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.