OrganizationActive
Assessment, Counseling, & Educational Services
NPI 1154614964 · Clinical Social Worker · Salt Lake City, UT
Provider details
- NPI number
- 1154614964
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Isaac Phillips, Associate Director, Therapist(801) 265-8000
- License
- 6613419-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2970 S Main St Ste 200
Salt Lake City, UT 84115-6034
Phone: (801) 265-8000
Fax: (801) 265-8004
Street-level locationGet directions
Mailing address
2970 S Main St Ste 200
Salt Lake City, UT 84115-6034
Registry dates
- Enumerated
- 2011-05-26
- Last updated
- 2011-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.