Active NPI
Davina John
- Clinical Social Worker
- Lehi, UT
National Provider Identifier
1821752312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10709970-3501
- Practice address
- 2901 W Blue Grass Blvd Ste 200-333
Lehi, UT 84043-4188 - Phone
- (801) 701-3270
- NPI assigned
- Oct 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10709970-3501 | UT | Primary |
Addresses
Primary practice location
2901 W Blue Grass Blvd Ste 200-333
Lehi, UT 84043-4188
Mailing address
2901 W Blue Grass Blvd Ste 200-333
Lehi, UT 84043-4188
Phone (801) 701-3270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 18, 2026 through Jun 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10709970-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1821752312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 W BLUE GRASS BLVD STE 200-333",
"city": "LEHI",
"state": "UT",
"postal_code": "840434188",
"telephone_number": "801-701-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 W BLUE GRASS BLVD STE 200-333",
"city": "LEHI",
"state": "UT",
"postal_code": "840434188",
"telephone_number": "801-701-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "DAVINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-29",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "10709970-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.