Active NPI
Courtney Erin Slater
- Clinical Social Worker
- Taylorsville, UT
National Provider Identifier
1982196135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11508304-3502
- Practice address
- 6013 S Redwood Rd
Taylorsville, UT 84123-5220 - Phone
- (801) 255-5131
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11508304-3502 | UT | Primary |
Addresses
Primary practice location
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Mailing address
237 26TH St
Ogden, UT 84401-3105
Phone (801) 625-3613
Other practice location 1
237 26th St
Ogden, UT 84401-3105
Phone (801) 625-3613
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11508304-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurobehavioral Center for Growth LLC | Multi-Specialty | Past | Accepting new patients |
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": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1982196135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 26TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844013105",
"telephone_number": "801-625-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6013 S REDWOOD RD",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235220",
"telephone_number": "801-255-5131"
}
],
"practiceLocations": [
{
"address_1": "237 26th St",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844013105",
"country_code": "US",
"telephone_number": "801-625-3613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLATER",
"first_name": "COURTNEY",
"middle_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "11508304-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.