Active NPI
Sarah Hopkins Samore, LCSW
- Counselor
- Salt Lake City, UT
National Provider Identifier
1821574716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 9407473-3501
- Practice address
- 925 E Executive Park Dr Ste B
Salt Lake City, UT 84117-3545 - Phone
- (801) 590-9277
- NPI assigned
- Jul 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 9407473-3501 | UT | Primary |
Addresses
Primary practice location
925 E Executive Park Dr Ste B
Salt Lake City, UT 84117-3545
Mailing address
669 E 9TH Ave
Salt Lake City, UT 84103-3610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 18, 2024 through Apr 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9407473-3501 | UT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531526400000",
"number": "1821574716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 E 9TH AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841033610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E EXECUTIVE PARK DR STE B",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841173545",
"telephone_number": "801-590-9277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMORE",
"first_name": "SARAH",
"middle_name": "HOPKINS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-14",
"last_updated": "2018-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "UT",
"license": "9407473-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.