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LATEISHA LYNN GOLUB
NPI 1326474446
Social Worker - Clinical in Sandy, UT

Active since September 20, 2013Opted out of Medicare · through Apr 1, 2028
9176 S 300 W, SANDY, UT 84070(801) 520-5749(801) 478-5869 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2020, Jun 28, 2018, May 18, 2016 (3 updates tracked since 2016).

About Lateisha Lynn Golub NPPES

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

LATEISHA LYNN GOLUB (NPI 1326474446) is an individual clinical provider in Sandy, Utah, licensed in Utah (89741963501) and active in the NPI registry since September 2013. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1326474446
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLATEISHA LYNN GOLUB
Location Address9176 S 300 WSandy, UT 84070-2668
Mailing Address4000 S 700 E Ste 9Salt Lake City, UT 84107-2581 · (801) 639-9544
Phone(801) 520-5749
Fax(801) 478-5869
Sole ProprietorNo
Enumeration DateSeptember 20, 2013
Last NPPES UpdateFebruary 14, 20203 updates tracked since enumeration
✔ NPI 1326474446 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 · 89741963501
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.
9176 S 300 W, Sandy, UT 84070
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Other Names 1

Former Name (1)Lateisha L Johnson Lcsw

Other Identifiers 1

Medicaid1326474446UT

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

ⓘ

Opted out of Medicare

Lateisha Lynn Golub 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 84070 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 2

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

MANA TRAINING CONSULTANTS, LLC
Foster Care Agency
9176 S 300 W, SUITE 34
SANDY, UT 84070
Salt Lake County (801) 347-2539
MR. HEMALOTO KATOA L.C.S.W.
Social Worker (Clinical)
9176 S 300 W, SUITE 34
SANDY, UT 84070
Salt Lake County (801) 403-4025

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 Lateisha Golub's NPI number?

The NPI number for Lateisha Golub is 1326474446. It was assigned to this individual provider in the NPPES registry on September 20, 2013. The provider is also known as Lateisha L Johnson Lcsw.

Where is Lateisha Golub located?

Lateisha Golub practices at 9176 S 300 W, Sandy, UT 84070. The listed phone number is (801) 520-5749.

What is Lateisha Golub's specialty?

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

Is Lateisha Golub enrolled in Medicare?

No. Lateisha Golub 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.

What insurance does Lateisha Golub accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Lateisha Golub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lateisha Golub was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.