Individual provider Active NPI

Dennis Tucker, LCSW

  • Clinical Social Worker
  • Sandy, UT
National Provider Identifier
1477510477
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
275986-3501 Issued in UT
Practice address
9176 S 300 W Ste 13
Sandy, UT 84070-2670
Phone
(801) 979-0610
Fax
(801) 797-2300
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 275986-3501 UT Primary

Addresses

Primary practice location

9176 S 300 W Ste 13
Sandy, UT 84070-2670

Mailing address

9176 S 300 W
Ste 13
Sandy, UT 84070-2670
Phone (801) 979-0610

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insights Counseling Inc Clinical CurrentSince Nov 3, 2019 Accepting new patients

Locations

9192 S 300 W
Ste 31
Sandy, UT 84070
Phone (801) 895-0012

9176 S 300 W
Ste 13
Sandy, UT 84070
Phone (801) 979-0610

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477510477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9176 S 300 W",
            "address_2": "STE 13",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702670",
            "telephone_number": "801-979-0610",
            "fax_number": "801-797-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9176 S 300 W STE 13",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702670",
            "telephone_number": "801-979-0610",
            "fax_number": "801-797-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "275986-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.