Caring for Kearns

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3475313501 Issued in UT

Legal business name

CARING FOR KEARNS

Practice address

5525 S 4015 W
Suite #207 a & B
Taylorsville, UT 84129

Phone

(801) 680-3255

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Ann Nelson, LCSW

Title

Owner

Phone

(801) 680-3255

Specialties & licenses 1

Addresses

Other names 1

• Caring for Kearns Community Other name

Locations

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1891140331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 S 4015 W",
            "address_2": "SUITE #207 A & B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84129",
            "telephone_number": "801-680-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 S 4015 W",
            "address_2": "SUITE #207 A & B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84129",
            "telephone_number": "801-680-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING FOR KEARNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-680-3255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3475313501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring for Kearns Community",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.