Individual provider Active NPI

Jason Davey

  • Clinical Social Worker
  • Hurricane, UT
National Provider Identifier
1023655735
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9819396--3502 Issued in UT
Practice address
750 S 5300 W
Hurricane, UT 84737-5702
Phone
(435) 656-6664
NPI assigned
Dec 2, 2019
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9819396--3502 UT Primary

Addresses

Primary practice location

750 S 5300 W
Hurricane, UT 84737-5702

Mailing address

87 N 200 E Ste 302
Saint George, UT 84770-5019

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.davey@washco.utah.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919002485 TX Practitioner - Clinical Social Worker 2769923523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

2753 Valencia LN
Schertz, TX 78154-3721
Phone (530) 531-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9819396--3502UTMDClinical Social Worker
108912TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Jul 7, 2024 Accepting new patients
Washington County Court Support Services PastSince Dec 9, 2019 Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1023655735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N 200 E STE 302",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847705019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S 5300 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847375702",
            "telephone_number": "435-656-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9819396--3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.davey@washco.utah.gov",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "750 S 5300 W",
            "city": "Hurricane",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847375702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

Verify at the official NPI Registry.