Individual provider Active NPI

Janet Nimer Wilson, LCSW

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1881663219
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
273553-3501 Issued in UT
Practice address
5284 S Commerce Dr Ste C134
Murray, UT 84107
Phone
(801) 266-4643
Fax
(801) 266-4775
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 273553-3501 UT Primary

Addresses

Primary practice location

5284 S Commerce Dr Ste C134
Murray, UT 84107

Mailing address

5284 S Commerce Dr Ste C134
Murray, UT 84107-5360
Phone (801) 266-4643

Other practice location 1

5689 S Redwood Road, #28-2
Salt Lake City, UT 84123-5447
Phone (801) 558-4643

Other identifiers 1

IdentifierTypeStateIssuer
11411923OtherCAQH

Other names 1

  • Janet Nimer Wilson Professional name

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
I20090513000057 UT Practitioner - Clinical Social Worker 6406905959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Healing Center, PCGroup PAC ID 8325351414, 2 clinicians

Practice addresses (Care Compare)

45 E Vine St
Murray, UT 84107-7904
Phone (801) 266-4643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273553-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Healing Center, PC Clinical CurrentSince Apr 1, 2015 Accepting new patients
Janet E. Hooper, Inc. Clinical Past Accepting new patients

Locations

5284 S Commerce Dr
Ste C134
Salt Lake City, UT 84107
Phone (801) 266-4643

45 E Vine St
Salt Lake City, UT 84107
Phone (801) 266-4643

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1881663219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 S COMMERCE DR STE C134",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075360",
            "telephone_number": "801-266-4643",
            "fax_number": "801-266-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5284 S COMMERCE DR STE C134",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-266-4643",
            "fax_number": "801-266-4775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5689 S Redwood Road, #28-2",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841235447",
            "country_code": "US",
            "telephone_number": "801-558-4643",
            "fax_number": "801-266-4775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIMER WILSON",
        "first_name": "JANET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "273553-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11411923",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "NIMER WILSON",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.