Individual provider Active NPI

Spencer Joseph Staples, MSW, LCSW

  • Clinical Social Worker
  • Lehi, UT
National Provider Identifier
1487090957
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8556085-3501 Issued in UT
Practice address
3051 W Maple Loop Dr Ste 300
Lehi, UT 84043-6552
Phone
(385) 336-4740
NPI assigned
May 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 8556085-3501 UT Primary

Addresses

Primary practice location

3051 W Maple Loop Dr Ste 300
Lehi, UT 84043-6552

Mailing address

163 Nectar Way
Saratoga Springs, UT 84045-6448
Phone (801) 915-4242

Other practice location 1

163 W Nectar Way
Saratoga Springs, UT 84045-6448
Phone (801) 915-4242

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
I20240403000742 UT Practitioner - Clinical Social Worker 1052707643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beehive Mental Health LLCGroup PAC ID 0547609265, 9 clinicians

Practice addresses (Care Compare)

7070 S Union Park Ave
Suite 150
Midvale, UT 84047-6043
Phone (801) 405-7450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8556085-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beehive Mental Health LLC Clinical CurrentSince Mar 24, 2025 Accepting new patients
Mammoth Mental Health LLC Mental Health CurrentSince Feb 12, 2024 Accepting new patients
Zest for Life Counseling Clinical PastSince Jul 3, 2022 Accepting new patients
Zest for Life Counseling - St George PastSince Jul 28, 2024 Accepting new patients
Zest for Life Counseling - Holladay Clinical PastSince Jul 3, 2022 Accepting new patients

Locations

3051 W Maple Loop Dr
Ste 300
Lehi, UT 84048
Phone (385) 336-4740

7070 S Union Park Ave
Ste 150
Midvale, UT 84047
Phone (801) 405-7450

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
First Choice Home Health & Hospice Specialists IncOrem, UT, CCN 467071 Home health agency W-2 Managing Employee Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1487090957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 NECTAR WAY",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456448",
            "telephone_number": "801-915-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 W MAPLE LOOP DR STE 300",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436552",
            "telephone_number": "385-336-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 W Nectar Way",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "UT",
            "postal_code": "840456448",
            "country_code": "US",
            "telephone_number": "801-915-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "SPENCER",
        "middle_name": "JOSEPH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8556085-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.