Individual provider Active NPI

Ryan L Heck, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1376667048
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
341708-3501 Issued in UT
Practice address
474 W 200 N
St George, UT 84770-4505
Phone
(435) 678-2992
Fax
(435) 986-8700
NPI assigned
Mar 19, 2007
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 341708-3501 UT Primary

Addresses

Primary practice location

474 W 200 N
St George, UT 84770-4505

Mailing address

474 W 200 N
St George, UT 84770-4505
Phone (435) 634-5600

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
I20140722002699 UT Practitioner - Clinical Social Worker 3173749470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest CenterGroup PAC ID 0941246086, 18 clinicians

Practice addresses (Care Compare)

474 W 200
Suite 300
Saint George, UT 84770-4505

474 W 200 N
300 Southwest Center/Southwest Behavioral H
St George, UT 84770-4505
Phone (435) 634-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
341708-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Mental Health-Substance Abuse Special Service District CurrentSince Mar 23, 2014 Accepting new patients
Southwest Center CurrentSince Mar 2, 2021 Accepting new patients
Southwest Center Current Accepting new patients
San Juan Mental Health-Substance Abuse SSD Past Accepting new patients

Locations

356 S Main St
Blanding, UT 84511
Phone (435) 678-2992

735 S 200 W
Ste 1
Blanding, UT 84511
Phone (435) 678-2992

474 W 200 N
#300
St George, UT 84770
Phone (435) 634-5621

474 W 200 N
Ste 300
St George, UT 84770
Phone (435) 634-5606

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1376667048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W 200 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-634-5600",
            "fax_number": "435-634-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 W 200 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-678-2992",
            "fax_number": "435-986-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK",
        "first_name": "RYAN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "341708-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.