Individual provider Active NPI

Kelly Winslow, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1871258707
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11782175-3502 Issued in UT
Practice address
4000 S 700 E Ste 9
Salt Lake City, UT 84107-2581
Phone
(801) 639-9544
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11782175-3502 UT Primary

Addresses

Primary practice location

4000 S 700 E Ste 9
Salt Lake City, UT 84107-2581

Mailing address

1895 E Lambourne Ave
Salt Lake City, UT 84106-3904
Phone (801) 879-8933

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
I20221111000209 UT Practitioner - Clinical Social Worker 7315314903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Utah School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1895 E Lambourne Ave
Salt Lake City, UT 84106-3904
Phone (801) 879-8933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11782175-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling and Consulting CurrentSince Jul 30, 2022 Accepting new patients
Kelly Winslow LCSW, LLC Clinical CurrentSince May 4, 2023 Accepting new patients

Locations

3970 S 700 E
Ste 17
Salt Lake City, UT 84107
Phone (801) 639-3544

4000 S 7th E
Ste 9
Salt Lake Cty, UT 84107
Phone (801) 635-4141

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1871258707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 E LAMBOURNE AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063904",
            "telephone_number": "801-879-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S 700 E STE 9",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072581",
            "telephone_number": "801-639-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "KELLY",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11782175-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.