David Cacamis
Individual provider Active NPI Clinical Social Worker · Enterprise, UT
NPI 1801555461 · NPPES record last updated Dec 10, 2021
Key facts
- NPI
- 1801555461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10922062-3501 (UT)
- Practice address
- 709 East Main St.
Enterprise, UT 84725-8410 - Phone
- (435) 236-7577
- NPI assigned
- Dec 10, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10922062-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10922062-3501 | UT | Yes |
Addresses
Primary practice location
709 East Main St.
Enterprise, UT 84725-8410
Mailing address
PO Box 1027
Enterprise, UT 84725-1027
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10922062-3501 | Other | UT | DEPARTMENT OF PROFESSIONAL LICENSING |
Other providers in Enterprise, UT
- Wyatt D Banks
- Benjamin D Cope, DDS, PC
- Colten Dirk Bracken
- Marcus T Burton
- City of Enterprise Ambulance
- Celestia Luella Clark I
- Benjamin D Cope
- Enterprise Valley Med Ctr Inc
- Enterprise Valley Medical Clinic, Inc.
All providers in Enterprise, 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 Dec 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.