Individual provider Active NPI

Joni D Bickley, LCSW

  • Clinical Social Worker
  • Cedar City, UT
National Provider Identifier
1841496924
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4810438-3501 Issued in UT
Practice address
54 N 200 E
Cedar City, UT 84720-2615
Phone
(435) 586-2515
Fax
(435) 865-7606
NPI assigned
Jun 25, 2007
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 4810438-3501 UT Primary

Addresses

Primary practice location

54 N 200 E
Cedar City, UT 84720-2615

Mailing address

54 North 100 East
Cedar City, UT 84720-3091
Phone (435) 586-2515

Other identifiers 3

IdentifierTypeStateIssuer
4810438-3502OtherUTCSW LICENSE
4810438-3501OtherUTLCSW LICENSE
THOMAJOtherUTSWBHC STAFF CODE

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

LicenseStateTypeSpecialty
4810438-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Center PastSince Jan 29, 2012 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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1841496924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 NORTH 100 EAST",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203091",
            "telephone_number": "435-586-2515",
            "fax_number": "435-865-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N 200 E",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847202615",
            "telephone_number": "435-586-2515",
            "fax_number": "435-865-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLEY",
        "first_name": "JONI",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4810438-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSW LICENSE",
            "identifier": "4810438-3502",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "4810438-3501",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWBHC STAFF CODE",
            "identifier": "THOMAJ",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.