Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386624625 Individual Practitioner Male Practitioner

Derek Paul Davis , LCSW

Social Worker - Clinical • Provo, UT

Professional Overview & Biography Verified Profile Summary

Derek Davis, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Provo, UT. Practice services are available at 1300 E CENTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 E Center St

Provo, UT 846063554

Telephone 8013444215
Associated Practice Facility / Clinic
🏢 State Of Utah Facility NPI 1811978620

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
453 Specialists

Practicing in Provo, UT (5603 Statewide)

Telehealth Adoption Rate
2.9% 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 139877-3501

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 Intermountain Health Care
107001373101 (UT)
Commercial Insurance / Payer ID Deseret Mutual
261878 (UT)
Commercial Insurance / Payer ID Educators Mutual
942938348DAV (UT)
Commercial Insurance / Payer ID Champus
942938348 (UT)

Practice Associates & Co-Workers

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

26 Associated Practitioners
William Camp , LCSW

Social Worker - Clinical

NPI 1023679263

Licensed Clinical Social Worker

Dr. Bryce Roby , PsyD

Psychologist - Clinical

NPI 1174969174

Doctor of Psychology (Psy.D.)

Melvin Schwartz , LCSW

Social Worker - Clinical

NPI 1245891423

Licensed Clinical Social Worker

David Farley , LCSW

Social Worker - Clinical

NPI 1265094098

Licensed Clinical Social Worker

Dr. Amanda Rapacz , PsyD

Psychologist - Clinical

NPI 1316360225

Doctor of Psychology (Psy.D.)

Taylor Zadonowicz

Psychologist

NPI 1336705318

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 28, 2019

Registered at 1300 E CENTER ST, PROVO, UT 846063554 (Tel: 8013444215)

📍
Updated Business Mailing Address June 28, 2019

Registered at PO BOX 270, PROVO, UT 846030270 (Tel: 8013444400)

NPI Profile Active August 14, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2012

Registered at 5965 S 900 E, SALT LAKE CITY, UT 841211720 (Tel: 8012637258)

📍
Updated Business Mailing Address August 14, 2012

Registered at 5965 S 900 E, SALT LAKE CITY, UT 841211720 (Tel: 8017879573)

👤
Provider Name / Credentials Updated August 14, 2012

Recorded as DEREK DAVIS, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2012

Social Worker (License #139877-3501 in UT)

🟢
Initial NPI Registration & Enumeration January 20, 2006

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: 1386624625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2006
Last Update: June 28, 2019
Sole Proprietor: No

Mailing Address

Po Box 270

Provo, UT 846030270

Phone: 8013444400

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.