Individual provider Active NPI

David Jason Steed, LCSW

  • Clinical Social Worker
  • Sandy, UT
National Provider Identifier
1841313434
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5912027-3501 Issued in UT
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

Updated by the provider on Jul 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
848AKMDMental Health Counselor
5912027-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Wellness Center, LLC Current Accepting new patients
Southside Behavioral Health Clinical PastSince Oct 1, 2012 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.

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.

Verify at the official NPI Registry.