Amanda Carlson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1747 Heritage LN Ste B101
Syracuse, UT 84075-8546

Phone

(385) 439-1926

NPI assigned

Oct 18, 2019

Last updated

Dec 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Caring Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ogden, UT
  • NPI 1134830193
  NPD Authorized official
• Anson Family Counseling, LLC

  • Clinical Social Worker
  • Syracuse, UT
  • NPI 1518457712
  NPD

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1912540311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 N 1575 E",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840408509",
            "telephone_number": "801-671-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 HERITAGE LN STE B101",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758546",
            "telephone_number": "385-439-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macie Mia Burnett, MSW
• Brett T Burtenshaw, MD
• Jordan Bybee
• Preston Quinn Calcut, CMHC
• Michelle Irene Cannon, RD
• Fernando Cervantes Jr.
• Ross Jex Chatwin, OD
• Cheap Easy Labs LLC
• Aspen Cruze Cheney
• Nathan F Christensen

• Clinical Social Worker in Syracuse, UT
• Providers in Syracuse, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.