Ibrahim Mohammad Choudhary

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10382212-3501 Issued in UT

Practice address

6706 S Artesian Way Apt 11
Cottonwood Heights, UT 84121-6831

Phone

(385) 421-1846

NPI assigned

Oct 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1841500709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 S ARTESIAN WAY APT 11",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841216831",
            "telephone_number": "385-421-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 S ARTESIAN WAY APT 11",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841216831",
            "telephone_number": "385-421-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHARY",
        "first_name": "IBRAHIM",
        "middle_name": "MOHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10382212-3501",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "10382212-3501",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Health Initiatives Colorado
• Center for Expressive Therapies
• Amy Chamberlain
• William Jordan Charles
• Madelyn CHI
• Kathryn Marie Chovanec, PTA
• Haley Anne Christensen, RDN
• Katelyn Michael Christensen, SLT
• Savanna J Christensen
• Ariana Grace Christianson

• Clinical Social Worker in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.