Individual provider Active NPI

Trisha Diane McWilliams, LCSW

  • Clinical Social Worker
  • Kaysville, UT
National Provider Identifier
1457086670
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
370704-3502 Issued in UT
Practice address
498 N Kays Dr Ste 210
Kaysville, UT 84037-4153
Phone
(801) 738-4653
Fax
(807) 779-7808
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 370704-3502 UT
Clinical Social Worker 1041C0700X 370704-3502 UT Primary

Addresses

Primary practice location

498 N Kays Dr Ste 210
Kaysville, UT 84037-4153

Mailing address

498 N Kays Dr Ste 210
Kaysville, UT 84037-4153
Phone (801) 738-4653

Other practice location 1

5129 S 1500 W
Riverdale, UT 84405-3926
Phone (801) 738-4653

Other names 1

  • Trish Singleton Former name

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
I20240624003852 UT Practitioner - Clinical Social Worker 4688117252 Practice locations: Layton, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5129 S 1500
Riverdale, UT 84405-3926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
370704-3502UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Roots Counseling Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

920 Heritage Park Blvd
Ste 130
Layton, UT 84041
Phone (385) 787-5850

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1457086670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 N KAYS DR STE 210",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374153",
            "telephone_number": "801-738-4653",
            "fax_number": "807-779-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 N KAYS DR STE 210",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374153",
            "telephone_number": "801-738-4653",
            "fax_number": "807-779-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5129 S 1500 W",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "UT",
            "postal_code": "844053926",
            "country_code": "US",
            "telephone_number": "801-738-4653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "TRISHA",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "370704-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "370704-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISH",
            "last_name": "SINGLETON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.