Derek Cragun, LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DEREK CRAGUN, LCSW PLLC

Doing business as

Derek Cragun, LCSW

Practice address

169 E Kelsey Ave
Salt Lake City, UT 84111-4508

Phone

(801) 875-7534

NPI assigned

Feb 15, 2022

Organization subpart

No

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

Authorized official

Name

Derek Cragun, LCSWNPI 1780222380

Title

Owner

Phone

(801) 875-7534

Specialties & licenses 1

Addresses

Other names 1

• Derek Cragun, LCSW Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Cragun, CSW

  • Mental Health Counselor
  • Draper, UT
  • NPI 1780222380
  NPD (past) Authorized official

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1073268470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 E KELSEY AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114508",
            "telephone_number": "801-875-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E KELSEY AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114508",
            "telephone_number": "801-875-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK CRAGUN, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "CRAGUN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-875-7534",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derek Cragun, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dept of Ophthalmology
• Laura Deras
• Christina Marie Derbidge, PHD
• Pauline Derbidge
• Willard Dere, M.D.
• Piper Lynn Dereus, RN
• David Scott Derezotes, LCSW, PHD
• Dermatology Division University of Utah Medical Center (U-U Dermatology Division School of Medicine)
• Kathryn Louise Derrick, RN
• Benjamin D Deru

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, 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 Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.