Individual provider Active NPI

Daniel B Jensen, LCSW

  • Clinical Social Worker
  • Springville, UT
National Provider Identifier
1659739803
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8349329-3501 Issued in UT
Practice address
1220 N Main St Ste 4
Springville, UT 84663-4014
Phone
(801) 804-1028
NPI assigned
Feb 3, 2016
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 8349329-3501 UT Primary

Addresses

Primary practice location

1220 N Main St Ste 4
Springville, UT 84663-4014

Mailing address

1627 S 3050 E
Spanish Fork, UT 84660-5540
Phone (385) 448-7777

Other practice location 1

21325 US-89
Fairview, UT 84629
Phone (801) 798-5448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8349329-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rick Biesinger LLC PastSince Sep 5, 2021 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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1659739803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 S 3050 E",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605540",
            "telephone_number": "385-448-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N MAIN ST STE 4",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846634014",
            "telephone_number": "801-804-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21325 US-89",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "UT",
            "postal_code": "84629",
            "country_code": "US",
            "telephone_number": "801-798-5448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8349329-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

Verify at the official NPI Registry.