Individual provider Active NPI

Darrell Benson, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1902398225
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9702694-3501 Issued in UT
Practice address
115 W 1470 S
St George, UT 84770-6763
Phone
(435) 652-8488
Fax
(435) 652-9959
NPI assigned
Jun 1, 2018
Last updated
Jun 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9702694-3501 UT Primary

Addresses

Primary practice location

115 W 1470 S
St George, UT 84770-6763

Mailing address

115 W 1470 S
St George, UT 84770-6763
Phone (435) 652-8488

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
I20220523000801 UT Practitioner - Clinical Social Worker 8325425879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. George Children and Family Psychiatric Center PCGroup PAC ID 5294906855, 13 clinicians

Practice addresses (Care Compare)

230 N 1680
Suite H1
St George, UT 84790-2584
Phone (435) 652-1897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9702694-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. George Children & Family Psychiatric Center PC CurrentSince May 17, 2022 Accepting new patients
Eagle Ranch Academy Past Accepting new patients

Locations

230 N 1680 E
Ste H1
St George, UT 84790
Phone (435) 652-1897

640 E 700 S
Ste 205A
St George, UT 84770
Phone (435) 652-1897

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1902398225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 1470 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706763",
            "telephone_number": "435-652-8488",
            "fax_number": "435-652-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 1470 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706763",
            "telephone_number": "435-652-8488",
            "fax_number": "435-652-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "DARRELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9702694-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.