Individual provider Active NPI

Devin W Edwards, CSW

  • Clinical Social Worker
  • Sunnyside, UT
National Provider Identifier
1427445964
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6700206-3501 Issued in UT
Practice address
331 E Highway 123
Sunnyside, UT 84539-7725
Phone
(435) 888-4411
Fax
(435) 888-2270
NPI assigned
Apr 22, 2015
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 6700206-3501 UT Primary

Addresses

Primary practice location

331 E Highway 123
Sunnyside, UT 84539-7725

Mailing address

PO Box 460
Sunnyside, UT 84539-0460
Phone (435) 888-4411

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
I20161212001113 UT Practitioner - Clinical Social Worker 1658651542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

92 N 400
Suite 1
Price, UT 84501-2509
Phone (435) 637-6338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6700206-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Medical Service Association, Incorporated CurrentSince Jul 13, 2020 Accepting new patients
Carbon Medical Service Association Incorporated CurrentSince Jul 13, 2020 Accepting new patients
Carbon Medical Service Association, Incorporated Past Accepting new patients

Locations

125 S Main St
Helper, UT 84526
Phone (435) 472-7000

250 N Fairgrounds Rd
Ste 3
Price, UT 84501
Phone (435) 299-7083

92 N 400 E
Ste 1
Price, UT 84501
Phone (435) 637-6338

Organizations & group practices 3

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1427445964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "SUNNYSIDE",
            "state": "UT",
            "postal_code": "845390460",
            "telephone_number": "435-888-4411",
            "fax_number": "435-888-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E HIGHWAY 123",
            "city": "SUNNYSIDE",
            "state": "UT",
            "postal_code": "845397725",
            "telephone_number": "435-888-4411",
            "fax_number": "435-888-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DEVIN",
        "middle_name": "W",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6700206-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, UT

Sources for this page

Verify at the official NPI Registry.