Individual provider Active NPI

Robert Trevenen, LCSW,LSUDC, UTAH

  • Clinical Social Worker
  • Orem, UT
National Provider Identifier
1902272198
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4920528-3501 Issued in UT
Practice address
494 W 1400 N
Orem, UT 84057-7001
Phone
(801) 473-3963
NPI assigned
Aug 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4920528-6006 UT
Clinical Social Worker 1041C0700X LCSW-927 WY
Clinical Social Worker 1041C0700X 4920528-3501 UT Primary

Addresses

Primary practice location

494 W 1400 N
Orem, UT 84057-7001

Mailing address

380 E 1800 S
Springville, UT 84663-2611
Phone (801) 874-5794

Other practice location 1

380 E 1800 S
Springville, UT 84663-2611
Phone (801) 874-5794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504000392 UT Practitioner - Clinical Social Worker 2860724630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

165 N 1330
Suite A1
Orem, UT 84057-5116
Phone (801) 960-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4920528-6006UTMDAddiction (Substance Use Disorder) Counselor
LCSW-927WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Strengthening Teens, LLC CurrentSince Jan 23, 2021 Accepting new patients

Locations

165 N 1330 W
Ste A1
Orem, UT 84057
Phone (801) 691-1153

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1902272198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 1800 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632611",
            "telephone_number": "801-874-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 W 1400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840577001",
            "telephone_number": "801-473-3963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 E 1800 S",
            "address_purpose": "LOCATION",
            "city": "Springville",
            "state": "UT",
            "postal_code": "846632611",
            "country_code": "US",
            "telephone_number": "801-874-5794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVENEN",
        "first_name": "ROBERT",
        "credential": "LCSW,LSUDC, UTAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "4920528-6006",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-927",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4920528-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.