Individual provider Active NPI

Emily Marie Fatali, LCSW

  • Social Worker
  • West Valley City, UT
National Provider Identifier
1861049678
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113056563502 Issued in UT
Practice address
2655 S Lake Erie Dr Ste B
West Valley City, UT 84120-7351
Phone
(801) 608-5750
NPI assigned
Aug 26, 2019
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113056563502 UT Primary

Addresses

Primary practice location

2655 S Lake Erie Dr Ste B
West Valley City, UT 84120-7351

Mailing address

963 W Debonair Dr
Salt Lake City, UT 84116-2120
Phone (913) 424-5756

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ealtman@projectconnection.co Direct

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
I20250429002157 UT Practitioner - Clinical Social Worker 4385174036 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113056563502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Project Connection Utah CurrentSince Apr 3, 2025 Accepting new patients
Project Connection Utah LLC CurrentSince Nov 20, 2025 Accepting new patients

Locations

2655 S Lake Erie Dr
Ste B
West Valley City, UT 84120
Phone (385) 441-4900

Interoperability endpoints

  • Direct secure messaging: ealtman@projectconnection.co

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1861049678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 W DEBONAIR DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841162120",
            "telephone_number": "913-424-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S LAKE ERIE DR STE B",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841207351",
            "telephone_number": "801-608-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATALI",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "113056563502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ealtman@projectconnection.co",
            "affiliation": "N",
            "endpointDescription": "Secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2655 S Lake Erie Dr Ste B",
            "city": "West Valley City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841207351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.