Individual provider Active NPI

Kaitlin Bodily, CSW

  • Clinical Social Worker
  • West Valley City, UT
National Provider Identifier
1902498132
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12070665-3502 Issued in UT
Practice address
2655 S Lake Erie Dr
West Valley City, UT 84120-7350
Phone
(385) 743-2645
NPI assigned
Feb 9, 2021
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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 12070665-3502 UT Primary

Addresses

Primary practice location

2655 S Lake Erie Dr
West Valley City, UT 84120-7350

Mailing address

954 E Olympus Park Dr Apt A209
Salt Lake City, UT 84117-7971

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
I20260518002144 UT Practitioner - Clinical Social Worker 8426588138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Project Connection Utah LLCGroup PAC ID 9234626268, 6 clinicians

Practice addresses (Care Compare)

2655 S Lake Erie Dr
Suite B
West Valley City, UT 84120-7351
Phone (385) 441-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12070665-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Project Connection Utah CurrentSince Apr 10, 2026 Accepting new patients
Project Connection Utah LLC CurrentSince Apr 10, 2026 Accepting new patients

Locations

2655 S Lake Erie Dr
Ste B
West Valley City, UT 84120
Phone (385) 441-4900

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, 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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1902498132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 E OLYMPUS PARK DR APT A209",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S LAKE ERIE DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841207350",
            "telephone_number": "385-743-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODILY",
        "first_name": "KAITLIN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12070665-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.