Samuel Grey Walter

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7766 Buckboard Dr
Park City, UT 84098-5315

Phone

(801) 879-1444

NPI assigned

Aug 11, 2011

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Insight Psychotherapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Park City, UT
  • NPI 1932813292
  Medicare reassignment NPD Authorized official
• Compass Counseling and Consulting

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1356669360
  Medicare reassignment NPD

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1730468455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7766 BUCKBOARD DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985315",
            "telephone_number": "801-879-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 BUCKBOARD DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985315",
            "telephone_number": "801-879-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "SAMUEL",
        "middle_name": "GREY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly A Wagner
• Kristine M Wake, MD
• Walgreen Co (Walgreens #19168)
• Cody Allen Walker, PHARMD
• Walmart Inc.
• Alison Warcup
• Wasatch Crest Treatment Services
• Wasatch NP House Calls LLC
• Wasatch Physical Therapy & Sports Medicine at Park City
• Wasatch Psychological Consultants

• Clinical Social Worker in Park City, UT
• Providers in Park City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.