Active NPI
Odbayar Jigjidsuren Parry, LCSW
- Clinical Social Worker
- Tooele, UT
National Provider Identifier
1841440906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7044333-3501
- Practice address
- 100 S 1000 W
Tooele, UT 84074-4010 - Phone
- (435) 843-3520
- NPI assigned
- Sep 25, 2008
- Last updated
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7044333-3501 | UT | Primary |
Addresses
Primary practice location
100 S 1000 W
Tooele, UT 84074-4010
Mailing address
100 S 1000 W
Ramford Way
Tooele, UT 84074-4010
Phone (435) 843-3520
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7044333-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Mental Health Incorporated | Clinical | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1841440906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S 1000 W",
"address_2": "RAMFORD WAY",
"city": "TOOELE",
"state": "UT",
"postal_code": "840744010",
"telephone_number": "435-843-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 1000 W",
"city": "TOOELE",
"state": "UT",
"postal_code": "840744010",
"telephone_number": "435-843-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRY",
"first_name": "ODBAYAR",
"middle_name": "JIGJIDSUREN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "7044333-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.