Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730165978 Individual Practitioner Male Practitioner

Douglas Lynn Whittaker , LCSW

Social Worker - Clinical • Midvale, UT

Professional Overview & Biography Verified Profile Summary

Douglas Whittaker, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Midvale, UT. Practice services are available at 7434 S STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7434 S State St

Midvale, UT 840472014

Telephone 8015664423
Fax 8015664779
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Midvale, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
120 Specialists

Practicing in Midvale, UT (5603 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License UT 126368-3501

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Educators Mutual
94293834BLYN (UT)
Commercial Insurance / Payer ID Intrmtn. Health Care
107032362101 (UT)
Commercial Insurance / Payer ID Deseret Mutual
827403 (UT)
Commercial Insurance / Payer ID Champus
942938348003 (UT)
Commercial Insurance / Payer ID Medicare Advanage Plans
R88031 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Sydna Freeman , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1023089943

Registered Nurse

Farrokh Mozari , MASTER LMFT

Marriage & Family Therapist

NPI 1023094000

MASTERLMFT

Dean Kennington , LCSW

Social Worker - Clinical

NPI 1043296601

Licensed Clinical Social Worker

Carla Coates , LCSW

Social Worker - Clinical

NPI 1073590261

Licensed Clinical Social Worker

Julie Rael , LCSW

Social Worker - Clinical

NPI 1104151232

Licensed Clinical Social Worker

Autumn Salvatore

Community Health Worker

NPI 1194291203

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7434 S STATE ST, MIDVALE, UT 840472014 (Tel: 8015664423)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4084 FOUBERT AVE, SALT LAKE CITY, UT 841243411 (Tel: 8012787453)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS WHITTAKER, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #126368-3501 in UT)

🟢
Initial NPI Registration & Enumeration December 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730165978
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

4084 Foubert Ave

Salt Lake City, UT 841243411

Phone: 8012787453

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.