Individual provider Active NPI

Hannah Mae Dubose-Harting, LCSW

  • Clinical Social Worker
  • West Valley City, UT
National Provider Identifier
1821409707
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5216690-3502 Issued in UT
Practice address
3002 S 5990 W
West Valley City, UT 84128-7072
Phone
(801) 859-9665
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5216690-3502 UT Primary

Addresses

Primary practice location

3002 S 5990 W
West Valley City, UT 84128-7072

Mailing address

3002 S 5990 W
West Valley City, UT 84128-7072
Phone (801) 859-9665

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
5216690-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Counseling Clinical CurrentSince Oct 1, 2023 Accepting new patients

Locations

224 S Main St
Centerville, UT 84014
Phone (801) 292-2404

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1821409707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 S 5990 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841287072",
            "telephone_number": "801-859-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 S 5990 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841287072",
            "telephone_number": "801-859-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE-HARTING",
        "first_name": "HANNAH",
        "middle_name": "MAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5216690-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.