Individual provider Active NPI

Myken Murdock, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1497367668
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11903407-3501 Issued in UT
Practice address
4190 S Highland Dr # 207
Salt Lake City, UT 84124-2600
Phone
(385) 306-9276
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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 11903407-3501 UT Primary

Addresses

Primary practice location

4190 S Highland Dr # 207
Salt Lake City, UT 84124-2600

Mailing address

1060 S 1650 E
Bountiful, UT 84010-1512
Phone (801) 347-3439

Other practice location 1

934 S Main St
Layton, UT 84041-7135
Phone (801) 336-1845

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
I20250822000955 UT Practitioner - Clinical Social Worker 0648770859 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
Davis Behavioral Health IncGroup PAC ID 7416861919, 61 clinicians

Practice addresses (Care Compare)

2250 N Robins Dr
Layton, UT 84041-1140
Phone 8017737060482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Behavioral Health Inc Clinical CurrentSince Jun 9, 2025 Accepting new patients

Locations

2250 N Robins Dr
Bldg B
Layton, UT 84041

934 S Main St
Layton, UT 84041
Phone (801) 336-1845

2250 N Robins Dr
Layton, UT 84041
Phone (801) 779-3001

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1497367668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 S 1650 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840101512",
            "telephone_number": "801-347-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 S HIGHLAND DR # 207",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242600",
            "telephone_number": "385-306-9276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 S Main St",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840417135",
            "country_code": "US",
            "telephone_number": "801-336-1845",
            "fax_number": "801-336-1845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "MYKEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11903407-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.