Active NPI
Charlotte Wray, LCSW
- Clinical Social Worker
- Riverton, UT
National Provider Identifier
1871020941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 323672-3501
- Practice address
- 12909 S Keri Lynn Dr
Riverton, UT 84065-8739 - Phone
- (801) 859-2659
- NPI assigned
- May 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 323672-3501 | UT | Primary |
Addresses
Primary practice location
12909 S Keri Lynn Dr
Riverton, UT 84065-8739
Mailing address
12909 S Keri Lynn Dr
Riverton, UT 84065-8739
Phone (801) 859-2659
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 |
|---|---|---|---|
| 323672-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871020941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12909 S KERI LYNN DR",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840658739",
"telephone_number": "801-859-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12909 S KERI LYNN DR",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840658739",
"telephone_number": "801-859-2659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "CHARLOTTE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "323672-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.