Active NPI
Lit Lynny'S Inner Therapy
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1992470561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- South Salt Lake, UT
- NPI 1205125705
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.