Active NPI
Zachery Paul Samson, LCSW 13703383-3501
- Clinical Social Worker
- Logan, UT
National Provider Identifier
1932541810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13703383-3501
- Practice address
- 174 W 700 N Apt C
Logan, UT 84321-3296 - Phone
- (801) 657-1241
- NPI assigned
- Jul 22, 2013
- 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 | 13703383-3501 | UT | Primary |
Addresses
Primary practice location
174 W 700 N Apt C
Logan, UT 84321-3296
Mailing address
174 W 700 N Apt C
Logan, UT 84321-3296
Phone (801) 657-1241
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1932541810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 W 700 N APT C",
"city": "LOGAN",
"state": "UT",
"postal_code": "843213296",
"telephone_number": "801-657-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 W 700 N APT C",
"city": "LOGAN",
"state": "UT",
"postal_code": "843213296",
"telephone_number": "801-657-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "ZACHERY",
"middle_name": "PAUL",
"credential": "LCSW 13703383-3501",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-22",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "13703383-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
- Steven S Salisbury, MD
- Salt Hill Counseling, PLLC
- Sam's Club Optical (Sam's Club Optical 30-4786)
- Stephanie Michelle Sampson, DNP, APRN, FNP-C
- Sams West Inc (Sams Pharmacy 10-4786)
- Carlos Moroni Sanchez, RESIDENTIAL AIDE
- Gregory Swen Sandberg, PT
- Abish Sanderson
- Jacob Sanderson, FNP-BC
- Daniel M Sandgren, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.