Chaelynn Vidal

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

344 E 100 S Ste 301
Salt Lake City, UT 84111-1727

Phone

(801) 322-4275

NPI assigned

Aug 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1942677240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9258 N DEERFIELD CIR",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054175",
            "telephone_number": "801-935-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E 100 S STE 301",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111727",
            "telephone_number": "801-322-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "CHAELYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Skye Viau, MS, RD, CSP, CD
• Vibe Wellness LLC
• Matthew Joseph Vicario, CMHC
• Karley Viczian
• Ayleen Vidal
• Amanda Alvarez Vides
• Casey Robert Vieni, MD, PHD
• David Matthew Vierkant
• Viet Dentistry
• Brook Vietor, APRN., FNP-C

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, 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 Apr 23, 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.