Active NPI
Denean Petersen Davis, LCSW
- Social Worker
- Cedar City, UT
National Provider Identifier
1104152545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 108453-3501
- Practice address
- 136 W University Blvd
Cedar City, UT 84720-2560 - Phone
- (435) 586-5495
- Fax
- (435) 865-8055
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 108453-3501 | UT | Primary |
Addresses
Primary practice location
136 W University Blvd
Cedar City, UT 84720-2560
Mailing address
383 N 600 W
Cedar City, UT 84721-4437
Phone (435) 586-0825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108453-3501 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1104152545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 N 600 W",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847214437",
"telephone_number": "435-586-0825",
"fax_number": "435-586-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 W UNIVERSITY BLVD",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847202560",
"telephone_number": "435-586-5495",
"fax_number": "435-865-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DENEAN",
"middle_name": "PETERSEN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "108453-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.