Christina Tipton

Individual provider Active NPI Clinical Social Worker · Pleasant View, UT

NPI 1750485181 · NPPES record last updated Apr 30, 2025

Key facts

NPI
1750485181
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
13617473-3501 (UT)
Practice address
935 W 2100 N
Pleasant View, UT 84404-6500
Phone
(859) 661-9660
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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 IDStateProvider typePAC IDDetails
I20231117003163 UT Practitioner - Clinical Social Worker 6305294018 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
257351KYMDClinical Social Worker
13617473-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christina B Tipton LLC Clinical Current
since Apr 27, 2025
Accepting new patients
Revere Health PC Current
since Nov 13, 2023
Accepting new patients
Revere Health PC Current
since Nov 13, 2023
Accepting new patients

Locations

2321 Sir Barton Way
Ste 140
Lexington, KY 40509

2850 N 2000 W
Ste 101
Ogden, UT 84404
Phone (801) 528-5095

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

5640 S 3500 W
Roy, UT 84067
Phone (801) 773-2838

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 257351 KY
Clinical Social Worker 1041C0700X 13617473-3501 UT Yes

Addresses

Primary practice location

935 W 2100 N
Pleasant View, UT 84404-6500

Mailing address

2321 Sir Barton Way Ste 140
Lexington, KY 40509-2437
Phone (859) 661-9660

Other practice location 1

2850 N 200 W
Ste 101
Farr West, UT 84404
Phone (801) 528-5095

Other providers in Pleasant View, UT

All providers in Pleasant View, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.