Organization Active NPI

Lit Lynny'S Inner Therapy

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1992470561
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIT LYNNY'S INNER THERAPY
Practice address
314 W Broadway Ste 222
Salt Lake City, UT 84101-2038
Phone
(385) 337-4391
NPI assigned
Aug 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Katherine Rose Chengappa, SSW
Title
Director of Administration
Phone
(385) 337-4391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

314 W Broadway Ste 222
Salt Lake City, UT 84101-2038

Mailing address

PO Box 16621
Salt Lake City, UT 84116-0621
Phone (385) 337-4391

National Provider Directory

National Provider Directory

Locations

314 W Broadway
Ste 222
Slc, UT 84101
Phone (801) 410-0760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1992470561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16621",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841160621",
            "telephone_number": "385-337-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W BROADWAY STE 222",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012038",
            "telephone_number": "385-337-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIT LYNNY'S INNER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-15",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "CHENGAPPA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "385-337-4391",
        "authorized_official_credential": "SSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 17, 2021; 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.