Active NPI
Brandon D. Christensen, LCSW
- Clinical Social Worker
- St George, UT
National Provider Identifier
1992733620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0313179-3501
- Practice address
- 474 W 200 N
St George, UT 84770-4505 - Phone
- (435) 634-5600
- Fax
- (435) 986-8700
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0313179-3501 | UT | Primary |
Addresses
Primary practice location
474 W 200 N
St George, UT 84770-4505
Mailing address
474 W 200 N
St George, UT 84770-4505
Phone (435) 634-5600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0313179-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Utah Counseling Center | Past | Accepting new patients | |
| Central Utah Mental Health Substance Abuse | Past | Accepting new patients |
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.
-
- Counselor
- Ephraim, UT
- NPI 1639185424
-
- Mental Health Counselor
- Richfield, UT
- NPI 1639184179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1992733620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 W 200 N",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847704505",
"telephone_number": "435-634-5600",
"fax_number": "435-986-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 W 200 N",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847704505",
"telephone_number": "435-634-5600",
"fax_number": "435-986-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "BRANDON",
"middle_name": "D.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "0313179-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.