Individual provider Active NPI

Jeffrey C Bright, LCSW

  • Clinical Social Worker
  • Clearfield, UT
National Provider Identifier
1275869745
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6783831-3501 Issued in UT
Practice address
129 S State St Ste 250
Clearfield, UT 84015-1116
Phone
(801) 855-7999
Fax
(801) 855-7999
NPI assigned
Oct 19, 2009
Last updated
Mar 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 6783831-3501 UT Primary

Addresses

Primary practice location

129 S State St Ste 250
Clearfield, UT 84015-1116

Mailing address

129 S State St Ste 250
Clearfield, UT 84015-1116
Phone (801) 855-7999

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6783831-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Neurotherapy Center CurrentSince Jul 12, 2020 Accepting new patients

Locations

129 S State St
Ste 250
Clearfield, UT 84015
Phone (801) 855-7999

4043 Riverdale Rd
Ste 1046
Ogden, UT 84405

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1275869745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S STATE ST STE 250",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151116",
            "telephone_number": "801-855-7999",
            "fax_number": "801-855-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S STATE ST STE 250",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151116",
            "telephone_number": "801-855-7999",
            "fax_number": "801-855-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6783831-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.