Individual provider Active NPI

Devin Gregory Scallions

  • Clinical Social Worker
  • Thermopolis, WY
National Provider Identifier
1245636505
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1389 Issued in WY
Practice address
121 S 4TH St
Thermopolis, WY 82443-2634
Phone
(307) 864-3138
Fax
(307) 864-3139
NPI assigned
Nov 14, 2014
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 1389 WY Primary

Addresses

Primary practice location

121 S 4TH St
Thermopolis, WY 82443-2634

Mailing address

145 E 1300 S Ste 501
Salt Lake City, UT 84115-6141
Phone (385) 468-3537

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dscallions36738@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1389WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Lake County Criminal Justice Services Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dscallions36738@direct.med.utah.edu

Organizations & group practices 1

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": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1245636505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 1300 S STE 501",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841156141",
            "telephone_number": "385-468-3537",
            "fax_number": "385-468-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S 4TH ST",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432634",
            "telephone_number": "307-864-3138",
            "fax_number": "307-864-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLIONS",
        "first_name": "DEVIN",
        "middle_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-14",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dscallions36738@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thermopolis, WY

Sources for this page

Verify at the official NPI Registry.