Individual provider Active NPI

Lakyn Smith

  • Social Worker
  • Ogden, UT
National Provider Identifier
1124779103
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2036 Lincoln Ave Ste 102
Ogden, UT 84401-6516
Phone
(801) 719-7737
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2036 Lincoln Ave Ste 102
Ogden, UT 84401-6516

Mailing address

2036 Lincoln Ave Ste 102
Ogden, UT 84401-6516
Phone (801) 719-7737

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250513000935 UT Practitioner - Clinical Social Worker 7012435118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Preventative Health PLLCGroup PAC ID 8820414600, 14 clinicians

Practice addresses (Care Compare)

2036 Lincoln Ave
Suite 102
Ogden, UT 84401-6516
Phone (801) 719-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Preventative Health PLLC CurrentSince Apr 20, 2025 Accepting new patients
Empowering Relief Counseling, PLLC Social Worker PastSince Jun 25, 2017 Accepting new patients

Locations

64 E Center St
Logan, UT 84321

5802 S 900 E
Murray, UT 84121
Phone (385) 210-6253

2036 Lincoln Ave
Ste 102
Ogden, UT 84401
Phone (253) 279-7924

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1124779103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 LINCOLN AVE STE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016516",
            "telephone_number": "801-719-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 LINCOLN AVE STE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016516",
            "telephone_number": "801-719-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAKYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.