Individual provider Active NPI

Dallyn Scott Steenerson, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1922760222
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11391-C Issued in NV
Practice address
1963 S 1200 E Apt 501
Salt Lake City, UT 84105-3527
Phone
(910) 795-7604
NPI assigned
Oct 13, 2021
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 124072073502 UT
Clinical Social Worker 1041C0700X 11391-C NV Primary

Addresses

Primary practice location

1963 S 1200 E Apt 501
Salt Lake City, UT 84105-3527

Mailing address

1963 S 1200 E Apt 501
Salt Lake City, UT 84105-3527
Phone (910) 795-7604

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
I20260615003139 UT Practitioner - Clinical Social Worker 2365914959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Medical University of South Carolina College of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Utah AIDS FoundationGroup PAC ID 2668834326, 4 clinicians

Practice addresses (Care Compare)

150 S 1000
Salt Lake City, UT 84102-1443
Phone (801) 823-1988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124072073502UTMDSocial Worker
11391-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Durette MD PLLC Clinical PastSince Apr 1, 2024 Accepting new patients
Lisa a Durette MD PLLC Clinical PastSince Apr 1, 2024 Accepting new patients

Organizations & group practices 3

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1922760222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 S 1200 E APT 501",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053527",
            "telephone_number": "910-795-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 S 1200 E APT 501",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053527",
            "telephone_number": "910-795-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENERSON",
        "first_name": "DALLYN",
        "middle_name": "SCOTT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "124072073502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11391-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.