Individual provider Active NPI

David Bernard Guertler, LCSW

  • Clinical Social Worker
  • Cedar City, UT
National Provider Identifier
1760132625
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6067808-3501 Issued in UT
Practice address
1789 N Wedgewood LN Ste 1
Cedar City, UT 84721-7769
Phone
(435) 703-9647
Fax
(435) 703-6003
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 6067808-3501 UT Primary

Addresses

Primary practice location

1789 N Wedgewood LN Ste 1
Cedar City, UT 84721-7769

Mailing address

1664 S Dixie Dr Ste E102
St George, UT 84770-7329
Phone (435) 703-9647

Other practice location 1

1664 S Dixie Dr Ste E102
St George, UT 84770-7329
Phone (435) 703-9647

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
I20231011000774 UT Practitioner - Clinical Social Worker 1557716529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alberto Souza PLLCGroup PAC ID 1254766371, 9 clinicians

Practice addresses (Care Compare)

1664 S Dixie Dr
Suite E102
St George, UT 84770-7329
Phone (435) 703-9647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alberto Souza, PLLC CurrentSince Aug 20, 2023 Accepting new patients

Locations

1789 N Wedgewood Ln
Ste 1
Cedar City, UT 84721

1664 S Dixie Dr
Ste E102
St George, UT 84770
Phone 43570396471

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1760132625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE E102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707329",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 N WEDGEWOOD LN STE 1",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217769",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1664 S Dixie Dr Ste E102",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847707329",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERTLER",
        "first_name": "DAVID",
        "middle_name": "BERNARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6067808-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.