Patricia Ruth Deyoung, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1025453502 Issued in UT

Practice address

2020 Lake St
Salt Lake City, UT 84105-3119

Phone

(801) 487-7778

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Trish Ruth Deyoung Professional name

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pdy Corp

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1760839484
  Medicare reassignment NPD Authorized official
• Family Support Center

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1730473786
  NPD (past)
• Family Support Center

  • Mental Health Counselor
  • Taylorsville, UT
  • NPI 1912392762
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376572149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 S 1575 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063355",
            "telephone_number": "801-755-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 LAKE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053119",
            "telephone_number": "801-487-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "PATRICIA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1025453502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSW LICENSE",
            "identifier": "1025453502",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISH",
            "last_name": "DEYOUNG",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "credential": "CSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Jann Dewitt, PHD
• Robin Dewitt
• Shelly M Dewitt
• Tara Jo Dewitt
• Sheila Arlene Deyette, PHD,APRN,PMHCNS-BC
• Jumana Dhaher, APC
• Mohammed Dhahir
• Jasmine Kaur Dhaliwal, CGC
• Aruna Dhungel
• Sweta Pant Dhungel, CNM

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.