Dedric Dean Davidson, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10858154-3501 Issued in UT

Practice address

5318 Bagley Park Rd
West Jordan, UT 84081-5885

Phone

(435) 660-1921

NPI assigned

May 4, 2026

Last updated

May 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1407783665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6469 W 7910 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815885",
            "telephone_number": "435-660-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 BAGLEY PARK RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815885",
            "telephone_number": "435-660-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "DEDRIC",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10858154-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren B. Jenkins, D.O.,P.C. (Health First Family Medicine)
• Dasie Enterprises, Inc.
• David D. Allred Counseling & Consulting, LLC
• David Hunter Matthews MD PC (West Valley Infectious Disease)
• David S. Roberts DDS PC
• Andrew Davis, M.D.
• Cassi Davis, LCSW
• Craig William Davis, MD
• Halle Davis, LAT, ATC
• James B Davis, M.D.

• Mental Health Counselor in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.