Individual provider Active NPI

Tifany Barlow, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1902233950
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6664085-3501 Issued in UT
Practice address
230 N 1680 E Ste 2
St George, UT 84790-2579
Phone
(801) 906-1736
NPI assigned
Oct 6, 2013
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6664085-3501 UT Primary
Clinical Social Worker 1041C0700X LMSW-15319 AZ

Addresses

Primary practice location

230 N 1680 E Ste 2
St George, UT 84790-2579

Mailing address

321 N Mall Drive
Suite E 201
Washington, UT 84780
Phone (801) 906-1736

Other practice location 1

321 N Mall Drive
Suite E 201
Washington, UT 84780
Phone (801) 906-1736

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
I20240531003050 UT Practitioner - Clinical Social Worker 0840632121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Salt Lake Wellness IncGroup PAC ID 4789985680, 6 clinicians
Numinus Wellness Ut IncGroup PAC ID 2163750688, 50 clinicians

Practice addresses (Care Compare)

230 N 1680
BLDG F
St George, UT 84790-2579
Phone (801) 844-1615

2950 N Church St
Suite 101
Layton, UT 84040-6504
Phone (801) 369-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-15319AZMDClinical Social Worker
6664085-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Numinus Wellness Ut Inc CurrentSince Sep 25, 2025 Accepting new patients
Great Salt Lake Wellness Inc CurrentSince May 22, 2024 Accepting new patients
Ogden Internal Medicine & Urology LLC PastSince Sep 25, 2025 Accepting new patients

Locations

375 N Main St
Ste 202
Kaysville, UT 84037
Phone (385) 231-1500

2950 N Church St
Ste 101
Layton, UT 84040
Phone (801) 771-7202

672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226

230 N 1680 E
Bldg F
St George, UT 84790
Phone (435) 414-1633

Organizations & group practices 3

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": "1381017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1902233950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MALL DRIVE",
            "address_2": "SUITE E 201",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "84780",
            "telephone_number": "801-906-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE 2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902579",
            "telephone_number": "801-906-1736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Mall Drive",
            "address_2": "Suite E 201",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "UT",
            "postal_code": "84780",
            "country_code": "US",
            "telephone_number": "801-906-1736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "TIFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-06",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6664085-3501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-15319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.