Active NPI
Occupational Stress Management, LLC
- Clinical Social Worker
- Washington Terrace, UT
National Provider Identifier
1871237479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- OCCUPATIONAL STRESS MANAGEMENT, LLC
- Practice address
- 5742 Adams Ave Pkwy
Washington Terrace, UT 84405-7157 - Phone
- (801) 388-5143
- NPI assigned
- Apr 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Berndt, LCSW
- Title
- Owner
- Phone
- (801) 388-5143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5742 Adams Ave Pkwy
Washington Terrace, UT 84405-7157
Mailing address
3386 S Hazel Ave
West Haven, UT 84401-9194
Phone (801) 388-5143
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650499200000",
"number": "1871237479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3386 S HAZEL AVE",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "844019194",
"telephone_number": "801-388-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5742 ADAMS AVE PKWY",
"city": "WASHINGTON TERRACE",
"state": "UT",
"postal_code": "844057157",
"telephone_number": "801-388-5143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCCUPATIONAL STRESS MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-21",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A",
"authorized_official_last_name": "BERNDT",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-388-5143",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington Terrace, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.