Individual provider Active NPI

Courtney Davies

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1982205936
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11751472-3501 Issued in UT
Practice address
350 E 400 S Ste 205
Salt Lake City, UT 84111-2995
Phone
(801) 784-8292
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11751472-3502 UT
Clinical Social Worker 1041C0700X 11751472-3501 UT Primary

Addresses

Primary practice location

350 E 400 S Ste 205
Salt Lake City, UT 84111-2995

Mailing address

350 E 400 S Ste 205
Salt Lake City, UT 84111-2995
Phone (801) 784-8292

Other practice location 1

415 Medical Dr Ste D101
Bountiful, UT 84010-8905
Phone (801) 683-1062

Other practice location 2

533 26th St Ste 100
Ogden, UT 84401-2459
Phone (801) 458-5735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11751472-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Healing PLLC Clinical CurrentSince Aug 3, 2025 Accepting new patients
Neurobehavioral Center for Growth LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

415 Medical Dr
Ste D101
Bountiful, UT 84010
Phone (201) 683-1062

350 E 400 S
Ste 205
Salt Lake City, UT 84111
Phone (801) 784-8292

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1982205936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 400 S STE 205",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112995",
            "telephone_number": "801-784-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 400 S STE 205",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112995",
            "telephone_number": "801-784-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Medical Dr Ste D101",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840108905",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "533 26th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844012459",
            "country_code": "US",
            "telephone_number": "801-458-5735",
            "fax_number": "801-459-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11751472-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11751472-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.