David James Aldrich, MSW,PHD IN EDUCATION
Individual provider Active NPI Clinical Social Worker · Vernal, UT
NPI 1659947331 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1659947331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 126012603501 (UT)
- Practice address
- 185 N Vernal Ave Ste 1
Vernal, UT 84078-2100 - Phone
- (435) 962-0705
- NPI assigned
- Jun 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
185 N Vernal Ave
Suite 1
Vernal, UT 84078-2100
Phone (435) 962-0705
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251030005231 | UT | Practitioner - Clinical Social Worker | 3173012945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126012603501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kodiak Counseling | Current |
Accepting new patients | |
| Journey Counseling Center Uintah LLC | Past | Accepting new patients |
Locations
244 W Highway 40
Roosevelt, UT 84066
Phone (435) 200-5685
185 N Vernal Ave
Ste 1
Vernal, UT 84078
Phone (435) 200-5685
431 E Main St
Vernal, UT 84078
Phone (801) 221-1220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 126012603501 | UT | Yes |
Addresses
Primary practice location
185 N Vernal Ave Ste 1
Vernal, UT 84078-2100
Mailing address
185 N Vernal Ave Ste 1
Vernal, UT 84078-2100
Phone (435) 962-0705
Other practice location 1
244 W Highway 40
Roosevelt, UT 84066-3760
Phone (435) 200-5685
Other providers in Vernal, UT
- Aaron M Hartman OD PC
- Cory Edward Aders
- Advanced Clinical Laboratory
- Advanced Dental PC
- Advanced Spine and Sport Clinic, PLLC
- Aligned Counseling LLC
- Travis Ray Allan
- Allegiance Addiction Recovery Center
- Melissa Allen
- Desree Allred
All providers in Vernal, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.