FUNCTIONALLY INTEGRATIVE THERAPY LLC
NPI 1184503492
Social Worker - Clinical in Salt Lake City, UT

Active since August 29, 2025
5620 S WATERBURY WAY, SALT LAKE CITY, UT 84121(385) 208-6197 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Functionally Integrative Therapy Llc NPPES

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

FUNCTIONALLY INTEGRATIVE THERAPY LLC (NPI 1184503492) is a healthcare organization registered as a clinical in Salt Lake City, Utah and active in the NPI registry since August 2025. The organization lists Steven Roth, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1184503492
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFUNCTIONALLY INTEGRATIVE THERAPY LLC
Location Address5620 S WATERBURY WAYSalt Lake City, UT 84121-1180
Mailing AddressPo Box 18182Kearns, UT 84118-0182 · (385) 208-6197
Organization SubpartNo
Authorized OfficialSteven RothOwner/therapist · (385) 208-6197
Enumeration DateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
NPI 1184503492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
5620 S WATERBURY WAY, Salt Lake City, UT 84121

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
5620 S WATERBURY WAY
SALT LAKE CITY, UT 84121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functionally Integrative Therapy LLC's NPI number?

The NPI number for Functionally Integrative Therapy LLC is 1184503492. It was assigned to this organization in the NPPES registry on August 29, 2025.

Where is Functionally Integrative Therapy LLC located?

Functionally Integrative Therapy LLC is located at 5620 S Waterbury Way, Salt Lake City, UT 84121. The listed phone number is (385) 208-6197.

What is Functionally Integrative Therapy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Functionally Integrative Therapy LLC was last updated on August 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.