Active NPI
Darren Micheal Dautel, LCSW
- Clinical Social Worker
- South Jordan, UT
National Provider Identifier
1871916742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 323053-3501
- Practice address
- 2651 W South Jordan Pkwy Ste 101a
South Jordan, UT 84095-8969 - Phone
- (801) 530-9697
- NPI assigned
- Jan 29, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 323053-3501 | UT | Primary |
Addresses
Primary practice location
2651 W South Jordan Pkwy Ste 101a
South Jordan, UT 84095-8969
Mailing address
2651 W South Jordan Pkwy Ste 101a
South Jordan, UT 84095-8969
Phone (801) 530-9697
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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Riverton, UT
- NPI 1164838264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695513600000",
"number": "1871916742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 W SOUTH JORDAN PKWY STE 101A",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958969",
"telephone_number": "801-530-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 W SOUTH JORDAN PKWY STE 101A",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958969",
"telephone_number": "801-530-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUTEL",
"first_name": "DARREN",
"middle_name": "MICHEAL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-29",
"last_updated": "2023-09-24",
"certification_date": "2023-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "323053-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
- Roselene Sallum Dalanhese, LCSW
- Dale F. Hardy, O.D. PC (Vision Source-South Valley Eyecare)
- Lexie Daley, PH.D., LMFT
- Autumn Dalton
- Marianne Kristina Daniels, CMHC
- David M. S. Stewart DDS PC (Little People's Dental)
- David T Hakanson DC PLLC (Praxis Health)
- Jarrod Davies, O.D.
- Ariadna Davila
- Davis Orthodontics PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.