ILEANA MARIE ANDERSON LCSW
NPI 1528768652
Social Worker - Clinical in Park City, UT

Active since March 07, 2023PECOS EnrolledAccepts Medicare Assignment
1743 REDSTONE CENTER DR, PARK CITY, UT 84098(435) 658-9200 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2023, Mar 7, 2023 (2 updates tracked since 2023).

About Ileana Marie Anderson Lcsw NPPES

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

ILEANA MARIE ANDERSON LCSW (NPI 1528768652) is an individual clinical provider in Park City, Utah, licensed in Utah (12300414-3501) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2021).

NPPES Registry Identity

NPI1528768652
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameILEANA MARIE ANDERSONCredential: LCSW
Location Address1743 REDSTONE CENTER DRPark City, UT 84098-7929
Mailing Address360 Moulton LnHeber City, UT 84032-3842 · (240) 606-5599
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2021
Enumeration DateMarch 7, 2023
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
NPI 1528768652 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 · 12300414-3501
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.
1743 REDSTONE CENTER DR, Park City, UT 84098

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ileana Marie Anderson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264898964
PECOS Enrollment IDI20230523001812
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
48 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84098 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 14

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

Pharmacy (Community/Retail Pharmacy)
1743 REDSTONE CENTER DR, STE 115
PARK CITY, UT 84098
Pediatrics
1743 REDSTONE CENTER DR, STE. 115
PARK CITY, UT 84098
Pharmacist
1743 REDSTONE CENTER DR
PARK CITY, UT 84098
Optometrist
1743 REDSTONE CENTER DR
PARK CITY, UT 84098
Optometrist
1743 REDSTONE CENTER DR
PARK CITY, UT 84098
Physician Assistant
1743 REDSTONE CENTER DR
PARK CITY, UT 84098
Pharmacist
1743 REDSTONE CENTER DR, SUITE 115
PARK CITY, UT 84098
Internal Medicine
1743 REDSTONE CENTER DR, STE. 115
PARK CITY, UT 84098

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 Ileana Anderson's NPI number?

The NPI number for Ileana Anderson is 1528768652. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Ileana Anderson located?

Ileana Anderson practices at 1743 Redstone Center Dr, Park City, UT 84098. The listed phone number is (435) 658-9200.

What is Ileana Anderson's specialty?

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

Is Ileana Anderson enrolled in Medicare?

Yes. Ileana Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ileana Anderson affiliated with any hospitals?

According to CMS data, Ileana Anderson is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Ileana Anderson was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.