Individual provider Active NPI

Diana Lynn Carney

  • Clinical Social Worker
  • Vernal, UT
National Provider Identifier
1962854190
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
352493-3502 Issued in UT
Practice address
365 W 50 N Ste W8
Vernal, UT 84078-2010
Phone
(435) 790-2757
NPI assigned
Jul 12, 2016
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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 352493-3502 UT Primary

Addresses

Primary practice location

365 W 50 N Ste W8
Vernal, UT 84078-2010

Mailing address

365 W 50 N Ste W8
Vernal, UT 84078-2010
Phone (435) 790-2757

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
I20220406000484 UT Practitioner - Clinical Social Worker 7416343116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Vernal, UT 84078
Phone (435) 210-0997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
352493-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Self Revival Counseling, LLC Clinical CurrentSince Nov 20, 2023 Accepting new patients
Lighthouse Youth & Family Therapy Clinical CurrentSince Mar 12, 2023 Accepting new patients
Lighthouse Youth & Family Therapy CurrentSince Jan 1, 2022 Accepting new patients

Locations

280 W 100 N
#A
Vernal, UT 84078
Phone (435) 210-0997

365 W 50 N
Ste W8
Vernal, UT 84078
Phone (435) 790-2757

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1962854190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W 50 N STE W8",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782010",
            "telephone_number": "435-790-2757",
            "fax_number": "435-725-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W 50 N STE W8",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782010",
            "telephone_number": "435-790-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "352493-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.