Individual provider Active NPI

Daniel J. Thornhill, LCSW

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1578737755
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
133462-3501 Issued in UT
Practice address
3505 Grant Ave
Ogden, UT 84401-4131
Phone
(801) 621-1901
Fax
(801) 621-4668
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 133462-3501 UT Primary

Addresses

Primary practice location

3505 Grant Ave
Ogden, UT 84401-4131

Mailing address

3505 Grant Ave
Ogden, UT 84401-4131
Phone (801) 621-1901

Other practice location 1

370 S 500 E Ste 250
Clearfield, UT 84015-4059
Phone (801) 825-4876

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
133462-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GMS Counseling LLC Clinical CurrentSince Jun 21, 2020 Accepting new patients

Locations

370 S 500 E
Ste 250
Clearfield, UT 84015
Phone (801) 825-4876

3505 Grant Ave
Ogden, UT 84401
Phone (801) 621-1901

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1578737755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 GRANT AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844014131",
            "telephone_number": "801-621-1901",
            "fax_number": "801-621-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 GRANT AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844014131",
            "telephone_number": "801-621-1901",
            "fax_number": "801-621-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 S 500 E Ste 250",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "UT",
            "postal_code": "840154059",
            "country_code": "US",
            "telephone_number": "801-825-4876",
            "fax_number": "801-825-1016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNHILL",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "133462-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.