Individual provider Active NPI

David Edward Mayeski, LCSW

  • Clinical Social Worker
  • Springville, UT
National Provider Identifier
1447872973
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4997714-3501 Issued in UT
Practice address
1220 N Main St Ste 4
Springville, UT 84663-4014
Phone
(801) 804-1028
Fax
(801) 405-6753
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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 4997714-3501 UT Primary

Addresses

Primary practice location

1220 N Main St Ste 4
Springville, UT 84663-4014

Mailing address

1220 N Main St Ste 4
Springville, UT 84663-4014
Phone (801) 804-1028

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL david@ctcofutah.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4997714-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rick Biesinger LLC PastSince May 10, 2020 Accepting new patients

Organizations & group practices 1

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1447872973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N MAIN ST STE 4",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846634014",
            "telephone_number": "801-804-1028",
            "fax_number": "801-405-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N MAIN ST STE 4",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846634014",
            "telephone_number": "801-804-1028",
            "fax_number": "801-405-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYESKI",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4997714-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "david@ctcofutah.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1220 N Main St Ste 4",
            "city": "Springville",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846634014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.