Individual provider Active NPI

David E Simpson, L.C.S.W

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1477632925
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1263123501 Issued in UT
Practice address
5635 S Waterbury Way
Ste C202
Salt Lake City, UT 84121-6210
Phone
(801) 278-0200
Fax
(801) 273-0322
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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 1263123501 UT Primary

Addresses

Primary practice location

5635 S Waterbury Way
Ste C202
Salt Lake City, UT 84121-6210

Mailing address

5635 S Waterbury Way
Ste C202
Salt Lake City, UT 84121-6210
Phone (801) 278-0200

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
I20120210000692 UT Practitioner - Clinical Social Worker 3971760448 Practice locations: Salt Lake City, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5635 S Waterbury Way
Suite C202
Salt Lake City, UT 84121-6210
Phone (801) 278-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1263123501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Scoville LLC Clinical PastSince Jan 6, 2015 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1477632925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 S WATERBURY WAY",
            "address_2": "STE C202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216210",
            "telephone_number": "801-278-0200",
            "fax_number": "801-273-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 S WATERBURY WAY",
            "address_2": "STE C202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216210",
            "telephone_number": "801-278-0200",
            "fax_number": "801-273-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1263123501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.