Active NPI
Brandon Sulser, LCSW
- Social Worker
- Farmington, UT
National Provider Identifier
1922717099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 75106373501
- Practice address
- 405 S Brookside Dr
Farmington, UT 84025-2192 - Phone
- (801) 864-1886
- NPI assigned
- Nov 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 75106373501 | UT | Primary |
Addresses
Primary practice location
405 S Brookside Dr
Farmington, UT 84025-2192
Mailing address
405 S Brookside Dr
Farmington, UT 84025-2192
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brandonsulser@me.com | Direct |
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 |
|---|---|---|---|
| 75106373501 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1922717099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 S BROOKSIDE DR",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S BROOKSIDE DR",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252192",
"telephone_number": "801-864-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULSER",
"first_name": "BRANDON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "75106373501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brandonsulser@me.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "405 S Brookside Dr",
"city": "Farmington",
"state": "UT",
"country_code": "US",
"postal_code": "840252192",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.