Individual provider Active NPI

Adam Brian Capel, LCSW

  • Clinical Social Worker
  • Layton, UT
National Provider Identifier
1790761518
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
262442-3501 Issued in UT
Practice address
934 S Main St
Layton, UT 84041
Phone
(801) 546-1168
Fax
(801) 544-0770
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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 262442-3501 UT Primary

Addresses

Primary practice location

934 S Main St
Layton, UT 84041

Mailing address

934 S Main St
Layton, UT 84041-7135
Phone (801) 773-7060

Other identifiers 5

IdentifierTypeStateIssuer
S99751OtherUTICAR
638892OtherUTU002
004662200OtherUTRCAR
107032385101OtherUTU006
942938348CAPOtherUTU003

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
I20040517000733 UT Practitioner - Clinical Social Worker 0345230785 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
Davis Behavioral Health IncGroup PAC ID 7416861919, 61 clinicians

Practice addresses (Care Compare)

934 S Main St
Layton, UT 84041-7135
Phone (801) 773-7060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Behavioral Health Inc Clinical CurrentSince Aug 2, 2018 Accepting new patients
Davis Behavioral Health Inc PastSince Jul 25, 2019 Accepting new patients

Locations

129 S State St
Ste 240
Clearfield, UT 84015
Phone 8017737060482

934 S Main St
Layton, UT 84041
Phone (801) 336-1845

2250 N Robins Dr
Layton, UT 84041
Phone (801) 779-3001

1799 Antelope Dr
Syracuse, UT 84075

Organizations & group practices 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1790761518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 S MAIN ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417135",
            "telephone_number": "801-773-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S MAIN ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-546-1168",
            "fax_number": "801-544-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPEL",
        "first_name": "ADAM",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "262442-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICAR",
            "identifier": "S99751",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U002",
            "identifier": "638892",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCAR",
            "identifier": "004662200",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U006",
            "identifier": "107032385101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U003",
            "identifier": "942938348CAP",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.