Individual provider Active NPI

Vanessa C. Perkins, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1851761589
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7395044-3501 Issued in UT
Practice address
4505 S Wasatch Blvd Ste 320
Salt Lake City, UT 84124-4755
Phone
(435) 260-4959
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 7395044-3501 UT Primary

Addresses

Primary practice location

4505 S Wasatch Blvd Ste 320
Salt Lake City, UT 84124-4755

Mailing address

4590 S Park Hill Dr
SLC, UT 84124-4785
Phone (435) 260-4959

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SpruceHealth

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
7395044-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1851761589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 S PARK HILL DR",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841244785",
            "telephone_number": "435-260-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244755",
            "telephone_number": "435-260-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "VANESSA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2022-12-29",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7395044-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SpruceHealth",
            "affiliation": "N",
            "address_1": "4505 S Wasatch Blvd Ste 320",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841244755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 29, 2022; 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.