Dex Whitehead, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

137284-3501 Issued in UT

Practice address

Sundance Behavioral Resources
845 East 4800 South, Suite 200
Murray, UT 84107-5041

Phone

(801) 264-9522

Fax

(801) 265-9604

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1487721841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUNDANCE BEHAVIORAL RESOURCES",
            "address_2": "845 EAST 4800 SOUTH, SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075041",
            "telephone_number": "801-264-9522",
            "fax_number": "801-265-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNDANCE BEHAVIORAL RESOURCES",
            "address_2": "845 EAST 4800 SOUTH, SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075041",
            "telephone_number": "801-264-9522",
            "fax_number": "801-265-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "DEX",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "137284-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle White, RPH
• Oldroyd White
• Tammy M White, CSW
• Thomas William White, MD
• Whitehawk Consulting, P.C.
• Marcus Whitney
• Brynli Whittaker, PT, DPT
• Matthew Guyon Whitten, M.D.
• Allison Whitworth
• Benjamin James Widmer, MD

• Clinical Social Worker in Murray, UT
• Providers in Murray, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.