Individual provider Active NPI

Benjamin Meikle Hemming, LCSW, LICSW

  • Clinical Social Worker
  • South Jordan, UT
National Provider Identifier
1598827198
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6293597-3501 Issued in UT
Practice address
10278 S Alder Grove Way
South Jordan, UT 84009-7136
Phone
(801) 857-8033
NPI assigned
Dec 14, 2006
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 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 6293597-3501 UT Primary

Addresses

Primary practice location

10278 S Alder Grove Way
South Jordan, UT 84009-7136

Mailing address

10278 S Alder Grove Way
South Jordan, UT 84009-7136
Phone (801) 857-8033

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
I20230830003094 UT Practitioner - Clinical Social Worker 8123452117 Practice locations: South Jordan, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1258 W S Jordan Pkwy
Suite 302
South Jordan, UT 84095-4712
Phone (801) 857-8033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6293597-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nikki J. Stypa, Psy.D., PLLC PastSince Aug 10, 2016 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1598827198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10278 S ALDER GROVE WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097136",
            "telephone_number": "801-857-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10278 S ALDER GROVE WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097136",
            "telephone_number": "801-857-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMING",
        "first_name": "BENJAMIN",
        "middle_name": "MEIKLE",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6293597-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.