Active NPI
Kate Aryn Edwards, CSW
- Clinical Social Worker
- Provo, UT
National Provider Identifier
1912345877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 85951213502
- Practice address
- 161 W 400 S Apt 6
Provo, UT 84601-4519 - Phone
- (650) 823-2061
- NPI assigned
- Jun 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 85951213502 | UT | Primary |
Addresses
Primary practice location
161 W 400 S Apt 6
Provo, UT 84601-4519
Mailing address
161 W 400 S Apt 6
Provo, UT 84601-4519
Phone (650) 823-2061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85951213502 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1912345877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W 400 S APT 6",
"city": "PROVO",
"state": "UT",
"postal_code": "846014519",
"telephone_number": "650-823-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 W 400 S APT 6",
"city": "PROVO",
"state": "UT",
"postal_code": "846014519",
"telephone_number": "650-823-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KATE",
"middle_name": "ARYN",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "85951213502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.