Individual provider Active NPI

Kathleen Rose Reimherr, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1871564112
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
911375513501 Issued in UT
Practice address
1524 S 1100 E
Salt Lake City, UT 84105-2425
Phone
(801) 467-1200
Fax
(801) 467-1210
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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 911375513501 UT Primary

Addresses

Primary practice location

1524 S 1100 E
Salt Lake City, UT 84105-2425

Mailing address

1524 S 1100 E
Salt Lake City, UT 84105-2425
Phone (801) 538-2057

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
I20101221000653 UT Practitioner - Clinical Social Worker 5193913911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Utah School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric and Behavioral Solutions LLCGroup PAC ID 8921245879, 4 clinicians

Practice addresses (Care Compare)

1459 E 3900
Salt Lake City, UT 84124-1412
Phone (801) 467-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
911375513501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solo Clinical Services LLC PastSince Jul 14, 2015 Accepting new patients

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1871564112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052425",
            "telephone_number": "801-538-2057",
            "fax_number": "801-596-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052425",
            "telephone_number": "801-467-1200",
            "fax_number": "801-467-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMHERR",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "911375513501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.