MARY BETH WHITTAKER LCSW
NPI 1538538525
Social Worker - Clinical in Holladay, UT

Active since September 19, 2015
2290 E 4500 S, SUITE 210, HOLLADAY, UT 84117(801) 272-3533(801) 272-3636 Get Directions Write a Review

NPPES record last updated: September 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Beth Whittaker Lcsw NPPES

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

MARY BETH WHITTAKER LCSW (NPI 1538538525) is a healthcare organization registered as a clinical in Holladay, Utah and active in the NPI registry since September 2015. The organization lists Mary Beth Whittaker, Owner, as its authorized official.

NPPES Registry Identity

NPI1538538525
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMARY BETH WHITTAKER LCSW
Location Address2290 E 4500 S, SUITE 210Holladay, UT 84117-4492
Mailing Address2290 E 4500 S, Suite 210Holladay, UT 84117-4492 · (801) 272-3533 · Fax (801) 272-3636
Fax(801) 272-3636
Organization SubpartNo
Authorized OfficialMary Beth WhittakerOwner · (801) 272-3533
Enumeration DateSeptember 19, 2015
NPI 1538538525 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 · 130283-3501
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.
2290 E 4500 S, Holladay, UT 84117

Other Identifiers 1

Medicare UPIN000060603UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Psychologist
2290 E 4500 S, SUITE 100
SALT LAKE CITY, UT 84117
Psychologist (Clinical)
2290 E 4500 S, SUITE 100
HOLLADAY, UT 84117
Acupuncturist
2290 E 4500 S, SUITE 110
HOLLADAY, UT 84117
Psychologist (Clinical)
2290 E 4500 S, SUITE 100
SALT LAKE CITY, UT 84117
Social Worker (Clinical)
2290 E 4500 S, SUITE 230
SALT LAKE CITY, UT 84117
Substance Abuse Rehabilitation Facility
2290 E 4500 S, SUITE 230
SALT LAKE CITY, UT 84117
Social Worker (Clinical)
2290 E 4500 S, SUITE 110
HOLLADAY, UT 84117

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 Mary Beth Whittaker Lcsw's NPI number?

The NPI number for Mary Beth Whittaker Lcsw is 1538538525. It was assigned to this organization in the NPPES registry on September 19, 2015.

Where is Mary Beth Whittaker Lcsw located?

Mary Beth Whittaker Lcsw is located at 2290 E 4500 S Suite 210, Holladay, UT 84117. The listed phone number is (801) 272-3533.

What is Mary Beth Whittaker Lcsw'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 Mary Beth Whittaker Lcsw was last updated on September 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.