Dolphina Kaye
Individual provider Active NPI Clinical Social Worker · Blanding, UT
NPI 1356821680 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1356821680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 735 S 200 W Ste 1
Blanding, UT 84511-3909 - Phone
- (435) 678-2992
- Fax
- (435) 678-3116
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
735 S 200
Suite 1
Blanding, UT 84511-3909
95 E 500
TRLR 8
Blanding, UT 84511-3047
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250922003287 | UT | Practitioner - Clinical Social Worker | 9830694835 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Mental Health-Substance Abuse Special Service District | Current |
Accepting new patients |
Locations
735 S 200 W
Ste 1
Blanding, UT 84511
Phone (435) 678-2992
750 N Freedom Blvd
Ste 300
Provo, UT 84601
Phone (801) 373-4763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Other Technician | 247200000X | |||
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
735 S 200 W Ste 1
Blanding, UT 84511-3909
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other providers in Blanding, UT
- S. Renee Johnson
- Carol Jones
- Irene Jones
- Lloyd Val Jones
- David Kartchner
- Russell Keith
- Gordon Brett Kelley
- Heidi Kennedy
- Brittney King
- Ronald Kirk
All providers in Blanding, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.