Individual provider Active NPI

Katharine Roth, LCSW

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1942483854
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6325232-3501 Issued in UT
Practice address
5383 S 900 E Ste 103
Murray, UT 84117-7266
Phone
(801) 872-5516
Fax
(801) 212-9942
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 6325232-3501 UT Primary

Addresses

Primary practice location

5383 S 900 E Ste 103
Murray, UT 84117-7266

Mailing address

5383 S 900 E Ste 103
Murray, UT 84117-7266
Phone (801) 872-5516

Other practice location 1

3051 W Maple Loop Dr Ste 210
Lehi, UT 84043-4602
Phone (801) 872-5516

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Murray Direct

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
I20090206000193 UT Practitioner - Clinical Social Worker 3476617465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascendant Behavioral Health LLCGroup PAC ID 1850673187, 62 clinicians

Practice addresses (Care Compare)

3051 W Maple Loop Dr
Suite 210
Lehi, UT 84043-4602
Phone (801) 872-5516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascendant Behavioral Health LLC Clinical CurrentSince Aug 1, 2021 Accepting new patients
Asian Association of Utah PastSince Sep 13, 2015 Accepting new patients

Locations

3051 W Maple Loop Dr
Ste 210
Lehi, UT 84048
Phone (801) 502-3913

5965 S 900 E
Ste 100
Murray, UT 84121
Phone (801) 639-9146

1333 S Valley Grove Way
Ste 200
Pleasant Grove, UT 84062
Phone (801) 849-3148

750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639

13222 Tree Sparrow Dr
Ste R210
Riverton, UT 84096

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.katharineroth@154909.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1942483854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 S 900 E STE 103",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841177266",
            "telephone_number": "801-872-5516",
            "fax_number": "801-212-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 S 900 E STE 103",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841177266",
            "telephone_number": "801-872-5516",
            "fax_number": "801-212-9942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3051 W Maple Loop Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434602",
            "country_code": "US",
            "telephone_number": "801-872-5516",
            "fax_number": "801-212-9942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "KATHARINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6325232-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Murray",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5383 S 900 E Ste 103",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841177266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.