Active NPI
Brielle Nicole Luke, LCSW
- Clinical Social Worker
- North Salt Lake, UT
National Provider Identifier
1902410517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12375536-3501
- Practice address
- 25 E Center St Apt 92
North Salt Lake, UT 84054-2838 - Phone
- (801) 652-0035
- Fax
- (801) 747-2086
- NPI assigned
- Sep 1, 2020
- Last updated
- Jan 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12375536-3501 | UT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
25 E Center St Apt 92
North Salt Lake, UT 84054-2838
Mailing address
25 E Center St Apt 92
North Salt Lake, UT 84054-2838
Phone (801) 652-0035
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Online Counseling PLLC | Past | Accepting new patients | |
| Starlight Program | Past | Accepting new patients | |
| Perfetto Clinical Contracting, Inc | Past | Accepting new patients |
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.
-
dba starlight program
- Foster Care Agency
- Murray, UT
- NPI 1497071419
-
- Foster Care Agency
- Murray, UT
- NPI 1033539895
-
- Professional Counselor
- Lewisville, TX
- NPI 1023576055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1902410517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E CENTER ST APT 92",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840542838",
"telephone_number": "801-652-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E CENTER ST APT 92",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840542838",
"telephone_number": "801-652-0035",
"fax_number": "801-747-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKE",
"first_name": "BRIELLE",
"middle_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12375536-3501",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.