Individual provider Active NPI

Denise Ellen Kearl, LCSW

  • Clinical Social Worker
  • Kaysville, UT
National Provider Identifier
1306400247
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9806478-3501 Issued in UT
Practice address
283 N 300 W, Ste. 501
Kaysville, UT 84037
Phone
(435) 757-9245
NPI assigned
Apr 25, 2019
Last updated
May 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9806478-3501 UT
Clinical Social Worker 1041C0700X 9806478-3501 UT Primary

Addresses

Primary practice location

283 N 300 W, Ste. 501
Kaysville, UT 84037

Mailing address

229 E 300 S
Wellsville, UT 84339
Phone (435) 757-9245

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 Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9806478-3501UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1306400247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E 300 S",
            "city": "WELLSVILLE",
            "state": "UT",
            "postal_code": "84339",
            "telephone_number": "435-757-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 N 300 W, STE. 501",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "84037",
            "telephone_number": "435-757-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARL",
        "first_name": "DENISE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9806478-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9806478-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.