Individual provider Active NPI

Mary Eileen Lehman, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1871744060
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5725848-3501 Issued in UT
Practice address
702 E South Temple Ste B35
Salt Lake City, UT 84102
Phone
(801) 201-7661
NPI assigned
Oct 6, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5725848-3501 UT Primary

Addresses

Primary practice location

702 E South Temple Ste B35
Salt Lake City, UT 84102

Mailing address

702 E South Temple
Ste B35
Salt Lake City, UT 84102-1352
Phone (801) 201-7661

Other practice location 1

86 B St Apt 3
Salt Lake City, UT 84103-2362
Phone (801) 201-7661

Other practice location 2

4055 S 700 E Ste 102
Salt Lake City, UT 84107-2509
Phone (801) 201-7661

Other practice location 3

702 E South Temple Ste B35
Salt Lake City, UT 84102
Phone (801) 201-7661

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
I20171023001322 UT Practitioner - Clinical Social Worker 4789950551 Practice locations: Salt Lake City, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

702 E S Temple
Suite B35
Salt Lake City, UT 84102-1352
Phone (801) 201-7661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5725848-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Eileen Lehman, LCSW, PLLC Clinical CurrentSince Aug 10, 2017 Accepting new patients

Locations

4055 S 700 E
Ste 102
Salt Lake City, UT 84107
Phone (801) 201-7661

702 E South Temple
Ste B35
Salt Lake City, UT 84102
Phone (801) 201-7661

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871744060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E SOUTH TEMPLE",
            "address_2": "STE B35",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021352",
            "telephone_number": "801-201-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E SOUTH TEMPLE STE B35",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-201-7661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 B St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841032362",
            "country_code": "US",
            "telephone_number": "801-201-7661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4055 S 700 E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841072509",
            "country_code": "US",
            "telephone_number": "801-201-7661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 E South Temple Ste B35",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84102",
            "country_code": "US",
            "telephone_number": "801-201-7661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "MARY",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5725848-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.