Individual provider Active NPI

Katherine Heinsohn, CSW

  • Clinical Social Worker
  • Providence, UT
National Provider Identifier
1972369403
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9434464-3502 Issued in UT
Practice address
15 S Main St Ste B103
Providence, UT 84332-9786
Phone
(435) 361-8073
NPI assigned
Feb 22, 2024
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 9434464-3502 UT Primary

Addresses

Primary practice location

15 S Main St Ste B103
Providence, UT 84332-9786

Mailing address

1257 E 500 S
Hyrum, UT 84319-1677
Phone (435) 361-8073

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
I20240708001631 UT Practitioner - Clinical Social Worker 4587108170 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9434464-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions Counseling Clinical CurrentSince May 11, 2024 Accepting new patients

Locations

115 Golf Course Rd
Ste E
Logan, UT 84321
Phone (435) 799-5035

Organizations & group practices 1

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1972369403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 E 500 S",
            "city": "HYRUM",
            "state": "UT",
            "postal_code": "843191677",
            "telephone_number": "435-361-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE B103",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329786",
            "telephone_number": "435-361-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINSOHN",
        "first_name": "KATHERINE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9434464-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

Verify at the official NPI Registry.