MARTHA LILIA SOTO CEBALLOS LCSW, ASUDC
NPI 1114558376
Social Worker - Clinical in Salt Lake City, UT

Q: What is Martha Soto Ceballos's NPI number?

The NPI number for Martha Soto Ceballos is 1114558376. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Q: What is Martha Soto Ceballos's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Martha Soto Ceballos enrolled in Medicare?

No. Martha Soto Ceballos has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since January 27, 2020Opted out of Medicare · through Apr 1, 2028

4000 S 700 E STE 9, SALT LAKE CITY, UT 84107(801) 639-9544 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2022, Sep 14, 2020, Jan 27, 2020 (3 updates tracked since 2020).

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About Martha Lilia Soto Ceballos Lcsw, Asudc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA LILIA SOTO CEBALLOS LCSW, ASUDC (NPI 1114558376) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (10378394-3502) and active in the NPI registry since January 2020. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1114558376

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARTHA LILIA SOTO CEBALLOSCredential: LCSW, ASUDC

Location Address4000 S 700 E STE 9Salt Lake City, UT 84107-2581

Mailing Address5481 W Ridge Hollow WayKearns, UT 84118-9251 · (385) 414-5482

Phone(801) 639-9544

Sole ProprietorNo

Enumeration DateJanuary 27, 2020

Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1114558376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in UT · 10378394-3502

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4000 S 700 E STE 9, Salt Lake City, UT 84107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Martha Lilia Soto Ceballos Lcsw, Asudc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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