Organization Active NPI

Mashelle Boswell, LCSW, PC

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1972082527
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
276083-3501 Issued in UT
Legal business name
MASHELLE BOSWELL, LCSW, PC
Practice address
1174 E Graystone Way Ste 20-E
Salt Lake City, UT 84106-2673
Phone
(435) 770-7813
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Ms. Mashelle Boswell, LCSWNPI 1588859458
Title
Owner
Phone
(435) 770-7813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 276083-3501 UT Primary

Addresses

Primary practice location

1174 E Graystone Way Ste 20-E
Salt Lake City, UT 84106-2673

Mailing address

1174 E Graystone Way Ste 20-E
Salt Lake City, UT 84106-2673
Phone (435) 770-7813

National Provider Directory

National Provider Directory

Locations

1174 E Graystone Way
Ste 20E
Salt Lake Cty, UT 84106
Phone (435) 770-7813

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1972082527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY STE 20-E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062673",
            "telephone_number": "435-770-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY STE 20-E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062673",
            "telephone_number": "435-770-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHELLE BOSWELL, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "MASHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-770-7813",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "276083-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.