Active NPI
Shirley Whitworth, L.C.S.W.
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1851561344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 372976-3501
- Practice address
- 825 E 4800 S Ste 230
Salt Lake City, UT 84107-5516 - Phone
- (801) 248-3237
- NPI assigned
- Mar 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 372976-3501 | UT | Primary |
Addresses
Primary practice location
825 E 4800 S Ste 230
Salt Lake City, UT 84107-5516
Mailing address
1965 Sun Meadow Cir
Salt Lake City, UT 84106-3976
Phone (801) 680-8595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 372976-3501 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1851561344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 SUN MEADOW CIR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063976",
"telephone_number": "801-680-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E 4800 S STE 230",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841075516",
"telephone_number": "801-248-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITWORTH",
"first_name": "SHIRLEY",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "372976-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.