Individual provider Active NPI

Logan Taylor Densley, LCSW

  • Clinical Social Worker
  • Orem, UT
National Provider Identifier
1255763157
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5634169-3501 Issued in UT
Practice address
825 N 1420 E
Orem, UT 84097-5484
Phone
(801) 367-6544
NPI assigned
Aug 1, 2013
Last updated
Jun 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5634169-3501 UT Primary

Addresses

Primary practice location

825 N 1420 E
Orem, UT 84097-5484

Mailing address

PO Box 971534
Orem, UT 84097-1534
Phone (801) 367-6544

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 21, 2018 through Feb 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5634169-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Mental Health Clinical PastSince Oct 1, 2024 Accepting new patients

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1255763157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971534",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840971534",
            "telephone_number": "801-367-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 1420 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975484",
            "telephone_number": "801-367-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSLEY",
        "first_name": "LOGAN",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5634169-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.