Mark David De St. Aubin, LCSW, CT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

133556-3501 Issued in UT

Practice address

5005 S 900 E Ste 120
Salt Lake City, UT 84117-5711

Phone

(801) 891-3137

NPI assigned

Feb 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1861798142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 EL SERRITO DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841094249",
            "telephone_number": "801-891-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 S 900 E STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175711",
            "telephone_number": "801-891-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ST. AUBIN",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCSW, CT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "133556-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Novo Services LLC
• Caroline De Ocampo
• Larissa De Oliveira Paes
• Audrey Elizabeth De Paepe, MD, PHD
• Magali Alessandra De Sauvage
• Helen Marie De-Lovely, LCSW
• Christopher Dea, M.D.
• Dekker Deacon, M.D., PH.D.
• Steven Deahl
• Bobbi Deal

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.