Individual provider Active NPI

Joan C Rasmussen, LCSW

  • Clinical Social Worker
  • Brigham City, UT
National Provider Identifier
1982106852
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10895071-3501 Issued in UT
Practice address
111 E Forest St Ste H
Brigham City, UT 84302-2127
Phone
(801) 588-9538
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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 10895071-3501 UT Primary

Addresses

Primary practice location

111 E Forest St Ste H
Brigham City, UT 84302-2127

Mailing address

669 S Appaloosa Cir
Willard, UT 84340-9629
Phone (801) 588-9538

Other practice location 1

663 W 950 S
Brigham City, UT 84302-3021
Phone (435) 734-9449

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
I20240523002249 UT Practitioner - Clinical Social Worker 3274912647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 E Forest St
Suite H
Brigham City, UT 84302-2127
Phone (801) 210-1198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10895071-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sycamore Mental Health CurrentSince Mar 2, 2024 Accepting new patients

Locations

111 E Forest St
Ste H
Brigham City, UT 84302
Phone (801) 210-1198

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1982106852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 S APPALOOSA CIR",
            "city": "WILLARD",
            "state": "UT",
            "postal_code": "843409629",
            "telephone_number": "801-588-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E FOREST ST STE H",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022127",
            "telephone_number": "801-588-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "663 W 950 S",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843023021",
            "country_code": "US",
            "telephone_number": "435-734-9449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "JOAN",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10895071-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.