Individual provider Active NPI

Janelle Spink, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1902236565
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8538624-3501 Issued in UT
Practice address
60 S 600 E Ste 100
Salt Lake City, UT 84102-1028
Phone
(602) 614-0751
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 8538624-3501 UT Primary

Addresses

Primary practice location

60 S 600 E Ste 100
Salt Lake City, UT 84102-1028

Mailing address

60 S 600 E Ste 100
Salt Lake City, UT 84102-1028
Phone (602) 614-0751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8538624-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Utah PLLC Clinical CurrentSince Oct 15, 2023 Accepting new patients

Locations

60 S 600 E
Ste 100
Salt Lake City, UT 84102
Phone (602) 614-0751

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1902236565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S 600 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021028",
            "telephone_number": "602-614-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S 600 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021028",
            "telephone_number": "602-614-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINK",
        "first_name": "JANELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8538624-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.