Individual provider Active NPI

Matthew Edward Feinauer

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1457900680
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11770567-3502 Issued in UT
Practice address
6156 S Vinecrest Dr
Murray, UT 84121-1753
Phone
(801) 487-0499
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 11770567-3502 UT Primary

Addresses

Primary practice location

6156 S Vinecrest Dr
Murray, UT 84121-1753

Mailing address

24 N Perth St
Saratoga Springs, UT 84043-3280
Phone (385) 200-0353

Other practice location 1

6156 S Vinecrest Dr
Murray, UT 84121-1753
Phone (801) 487-0499

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
I20240501003707 UT Practitioner - Clinical Social Worker 4981044328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Preventative Health PLLCGroup PAC ID 8820414600, 14 clinicians

Practice addresses (Care Compare)

2036 Lincoln Ave
Suite 102
Ogden, UT 84401-6516
Phone (801) 719-7737

5802 S 900
Murray, UT 84121-1644
Phone (801) 719-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11770567-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Preventative Health PLLC CurrentSince Jun 1, 2024 Accepting new patients
Empowering Relief Counseling, PLLC Clinical PastSince Jun 25, 2017 Accepting new patients

Locations

5802 S 900 E
Murray, UT 84121
Phone (385) 210-6253

2036 Lincoln Ave
Ste 102
Ogden, UT 84401
Phone (253) 279-7924

Organizations & group practices 2

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1457900680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N PERTH ST",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840433280",
            "telephone_number": "385-200-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6156 S VINECREST DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211753",
            "telephone_number": "801-487-0499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6156 S Vinecrest Dr",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211753",
            "country_code": "US",
            "telephone_number": "801-487-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEINAUER",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2021-11-12",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11770567-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.