Individual provider Active NPI

Nicole Katrina Korman, L.C.S.W., S.U.D.C.

  • Clinical Social Worker
  • Cottonwood Heights, UT
National Provider Identifier
1962794164
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6242266-3501 Issued in UT
Practice address
7105 S Highland Dr
Suite #101
Cottonwood Heights, UT 84121-3753
Phone
(801) 783-4779
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6242266-6006 UT
Clinical Social Worker 1041C0700X 6242266-3501 UT Primary

Addresses

Primary practice location

7105 S Highland Dr
Suite #101
Cottonwood Heights, UT 84121-3753

Mailing address

7105 S Highland Dr
Suite # 101
Cottonwood Heights, UT 84121-3753
Phone (801) 739-3754

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6242266-6006UTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1962794164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 S HIGHLAND DR",
            "address_2": "SUITE # 101",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213753",
            "telephone_number": "801-739-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 S HIGHLAND DR",
            "address_2": "SUITE #101",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213753",
            "telephone_number": "801-783-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAN",
        "first_name": "NICOLE",
        "middle_name": "KATRINA",
        "credential": "L.C.S.W., S.U.D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "6242266-6006",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6242266-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.