Individual provider Active NPI

John Michael Sauceda, L.C.S.W, M.S.W.

  • Clinical Social Worker
  • Cedar City, UT
National Provider Identifier
1336560713
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6171711-3501 Issued in UT
Practice address
719 S 2475 W
Cedar City, UT 84720-1972
Phone
(435) 327-2261
NPI assigned
Jan 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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 6171711-3501 UT Primary

Addresses

Primary practice location

719 S 2475 W
Cedar City, UT 84720-1972

Mailing address

719 S 2475 W
Cedar City, UT 84720-1972
Phone (435) 327-2261

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
I20190917000852 UT Practitioner - Clinical Social Worker 6204165244 Practice locations: Cedar City, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 W Harding Ave
Suite C
Cedar City, UT 84720-2596
Phone (435) 327-2261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6171711-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John Sauceda, LCSW, Inc CurrentSince Dec 3, 2023 Accepting new patients

Locations

66 W Harding Ave
Ste C
Cedar City, UT 84720
Phone (435) 327-2261

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1336560713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S 2475 W",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201972",
            "telephone_number": "435-327-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S 2475 W",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201972",
            "telephone_number": "435-327-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDA",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W, M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6171711-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.