Individual provider Active NPI

Rita Borgs Baden, LCSW

  • Clinical Social Worker
  • Park City, UT
National Provider Identifier
1831252931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1256743501 Issued in UT
Practice address
1745 Sidewinder Ave
Park City, UT 84068-2077
Phone
(435) 659-9275
Fax
(435) 655-3233
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1256743501 UT Primary

Addresses

Primary practice location

1745 Sidewinder Ave
Park City, UT 84068-2077

Mailing address

PO B 682077
1745 Sidewinder Ave Suite 200
Park City, UT 84068-2077
Phone (435) 659-9275

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
1256743501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831252931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO B 682077",
            "address_2": "1745 SIDEWINDER AVE SUITE 200",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840682077",
            "telephone_number": "435-659-9275",
            "fax_number": "435-655-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 SIDEWINDER AVE",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840682077",
            "telephone_number": "435-659-9275",
            "fax_number": "435-655-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEN",
        "first_name": "RITA",
        "middle_name": "BORGS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1256743501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.