Individual provider Active NPI

Candace Sue Meira, LCSW

  • Clinical Social Worker
  • Eagle Mountain, UT
National Provider Identifier
1851892707
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12855509-3501 Issued in UT
Practice address
3401 E Stillwater
Eagle Mountain, UT 84005-6343
Phone
(385) 645-9205
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 12855509-3502 UT
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 12855509-3501 UT Primary

Addresses

Primary practice location

3401 E Stillwater
Eagle Mountain, UT 84005-6343

Mailing address

3401 E Stillwater
Eagle Mountain, UT 84005-6343
Phone (385) 645-9205

Other practice location 1

10459 S Temple Dr Ste 102
South Jordan, UT 84095-8930
Phone (385) 645-9205

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

LicenseStateTypeSpecialty
12855509-3501UTMDClinical Social Worker
12855509-3502UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1851892707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E STILLWATER",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056343",
            "telephone_number": "385-645-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E STILLWATER",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056343",
            "telephone_number": "385-645-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10459 S Temple Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840958930",
            "country_code": "US",
            "telephone_number": "385-645-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIRA",
        "first_name": "CANDACE",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12855509-3502",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12855509-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.