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Ethan Maryon

Social Worker β€’ Bountiful, UT

Active NPI 1720533664 Individual Practitioner Male Practitioner
Practice location in NPPES

1325 N Main St Ste 3
Bountiful, UT 840106090

Call 8013803087 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1325 N Main St Ste 3

Bountiful, UT 840106090

Telephone 8013803087

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bountiful and Utah

23 active clinicians are listed under Social Worker with a practice address in Bountiful, UT (1,922 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bountiful

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES UT 10382606-3502

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 20, 2018

Registered at 1325 N MAIN ST STE 3, BOUNTIFUL, UT 840106090 (Tel: 8013803087)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Social Worker (license number reported to NPPES: UT 10382606-3502)

βœ…
NPI Profile Active August 21, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 21, 2016

Registered at 1760 W 4805 S, TAYLORSVILLE, UT 841291177 (Tel: 8019559110)

πŸ“
Business Mailing Address (Initial Record) August 21, 2016

Registered at 1957 E HUBBARD AVE, SALT LAKE CITY, UT 841081303

πŸ‘€
Provider Name / Credentials (Initial Record) August 21, 2016

Recorded as ETHAN MARYON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2016

Social Worker

🟒
Initial NPI Registration & Enumeration August 21, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720533664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2016
Last Update: March 20, 2018
Sole Proprietor: No

Mailing Address

1957 E Hubbard Ave

Salt Lake City, UT 841081303

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.