Individual provider Active NPI

Michal Allen Neff, LCSW, CSUDC

  • Clinical Social Worker
  • Tooele, UT
National Provider Identifier
1336536564
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8051913-3501 Issued in UT
Practice address
352 N Main St
Tooele, UT 84074-1657
Phone
(435) 200-3107
Fax
(435) 291-3201
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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 8051913-3501 UT Primary

Addresses

Primary practice location

352 N Main St
Tooele, UT 84074-1657

Mailing address

PO Box 861
Grantsville, UT 84029-0861
Phone (435) 200-3107

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
I20181025001494 UT Practitioner - Clinical Social Worker 5698028348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

352 N Main St
Tooele, UT 84074-1657
Phone (435) 200-3107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8051913-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Precipice Counseling, LLC Social Worker CurrentSince Sep 17, 2021 Accepting new patients
Patrick Green MD PLLC CurrentSince Oct 12, 2020 Accepting new patients
Patrick Green MD PLLC CurrentSince Oct 12, 2020 Accepting new patients

Locations

352 N Main St
Tooele, UT 84074
Phone (435) 200-3107

30 S Tooele Blvd
Tooele, UT 84074
Phone (435) 241-7778

134 W 1180 N
Ste 5
Tooele, UT 84074
Phone (435) 248-0333

Organizations & group practices 3

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1336536564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840290861",
            "telephone_number": "435-200-3107",
            "fax_number": "435-291-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741657",
            "telephone_number": "435-200-3107",
            "fax_number": "435-291-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEFF",
        "first_name": "MICHAL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LCSW, CSUDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8051913-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.