Individual provider Active NPI

Joshua Haynes Redfern, MSW, LCSW

  • Clinical Social Worker
  • Riverton, UT
National Provider Identifier
1962670265
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6619687-3501 Issued in UT
Practice address
3740 Market Center Dr
Riverton, UT 84065-8026
Phone
(801) 240-9436
Fax
(801) 240-9452
NPI assigned
Feb 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2010

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 6619687-3501 UT Primary

Addresses

Primary practice location

3740 Market Center Dr
Riverton, UT 84065-8026

Mailing address

3740 Market Center Dr
Riverton, UT 84065-8026
Phone (801) 240-9436

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
I20260114001267 UT Practitioner - Clinical Social Worker 5294211801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1048 Steppe Eagle Ave
Henderson, NV 89015-8530

3321 N Buffalo Dr
Suite 200
Las Vegas, NV 89129-6680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6619687-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Specialists of Utah, LLC CurrentSince Dec 6, 2025 Accepting new patients

Locations

3321 N Buffalo Dr
Ste 200
Las Vegas, NV 89129
Phone (702) 515-1373

1000 W Bellwood Ln
Salt Lake City, UT 84123
Phone (801) 520-3416

595 S Bluff St
Ste 1
St George, UT 84770
Phone (435) 319-7800

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1962670265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 MARKET CENTER DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658026",
            "telephone_number": "801-240-9436",
            "fax_number": "801-240-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 MARKET CENTER DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658026",
            "telephone_number": "801-240-9436",
            "fax_number": "801-240-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFERN",
        "first_name": "JOSHUA",
        "middle_name": "HAYNES",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6619687-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

Verify at the official NPI Registry.