Brad Mark Kercher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3235 N Goshawk Way
Layton, UT 84040-7833

Phone

(989) 627-2758

NPI assigned

Jan 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Renew Healthcare LLC

  • Adult Mental Health Clinic/Center
  • Layton, UT
  • NPI 1548955479

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1063782142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 N GOSHAWK WAY",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840407833",
            "telephone_number": "989-627-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N GOSHAWK WAY",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840407833",
            "telephone_number": "989-627-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERCHER",
        "first_name": "BRAD",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Kennedy-Pressey, PHD, LCSW
• Amy Chidester Kenney, OTR/L
• Amber Kent
• Tyler Kent, M.D.
• Alan J Kerbs, P.T.
• Kennedy Kerr
• Jeremy Kessler, M.D.
• Jack Kettering, MA
• Nicole Keyes
• Keystone Family Support, Inc.

• Clinical Social Worker in Layton, UT
• Providers in Layton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.