Individual provider Active NPI

Elaine Alice Winter, LCSW

  • Clinical Social Worker
  • Cottonwood Heights, UT
National Provider Identifier
1851418925
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11917 Issued in AZ
Practice address
1453 E Blue Grass Cir
Cottonwood Heights, UT 84121-2701
Phone
(480) 298-0500
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 138565-3501 UT
Clinical Social Worker 1041C0700X 11917 AZ Primary

Addresses

Primary practice location

1453 E Blue Grass Cir
Cottonwood Heights, UT 84121-2701

Mailing address

1453 E Blue Grass Cir
Cottonwood Heights, UT 84121-2701
Phone (480) 298-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000708 UT Practitioner - Clinical Social Worker 2365624228 Practice locations: Cottonwood Heights, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glen E Johnson MD PC Past Accepting new patients
Harvey L Rishe Acsw PHD PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1851418925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 E BLUE GRASS CIR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212701",
            "telephone_number": "480-298-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 E BLUE GRASS CIR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212701",
            "telephone_number": "480-298-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "ELAINE",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "138565-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

Verify at the official NPI Registry.