Active NPI
David Jason Steed, LCSW
- Clinical Social Worker
- Sandy, UT
National Provider Identifier
1841313434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5912027-3501
- Practice address
- 11075 S State St Ste 16
Sandy, UT 84070 - Phone
- (801) 372-4466
- Fax
- (801) 747-6879
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007524 | VA | |
| Clinical Social Worker | 1041C0700X | 5912027-3501 | UT | Primary |
Addresses
Primary practice location
11075 S State St Ste 16
Sandy, UT 84070
Mailing address
11075 S State St Ste 16
Sandy, UT 84070-5196
Phone (801) 372-4466
Other practice location 1
424 Hamilton Blvd
South Boston, VA 24592-5200
Phone (434) 572-2936 ext. 318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 848 | AK | MD | Mental Health Counselor |
| 5912027-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Peace Wellness Center, LLC | Current | Accepting new patients | |
| Southside Behavioral Health | Clinical | Past | Accepting new patients |
Locations
11075 S State St
Ste 16
Sandy, UT 84070
Phone (801) 350-1671
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandy, UT
- NPI 1073268231
-
- Community/Behavioral Health Agency
- Clarksville, VA
- NPI 1700890761
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1841313434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11075 S STATE ST STE 16",
"city": "SANDY",
"state": "UT",
"postal_code": "840705196",
"telephone_number": "801-372-4466",
"fax_number": "801-747-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11075 S STATE ST STE 16",
"city": "SANDY",
"state": "UT",
"postal_code": "84070",
"telephone_number": "801-372-4466",
"fax_number": "801-747-6879"
}
],
"practiceLocations": [
{
"address_1": "424 Hamilton Blvd",
"address_purpose": "LOCATION",
"city": "South Boston",
"state": "VA",
"postal_code": "245925200",
"country_code": "US",
"telephone_number": "434-572-2936 x318",
"fax_number": "434-572-4665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEED",
"first_name": "DAVID",
"middle_name": "JASON",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007524",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "5912027-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.