Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730653254 Individual Practitioner Male Practitioner

Derek Benjamin Carmack , CPSS, CSW

Social Worker - Clinical • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derek Carmack, CPSS, CSW is a certified Social Worker - Clinical practicing in Provo, UT. With approximately 5 years of clinical experience since completing medical education in 2021, Derek Carmack delivers high-quality medical care to the local community at 750 N FREEDOM BLVD.

Derek Carmack is affiliated with Wasatch Behavioral Health Special Service District and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

750 N Freedom Blvd

Provo, UT 846011677

Telephone 8013734760
Fax 8013730639
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Provo, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -9.2 yrs vs City Avg
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

Clinical Seniority & Experience Comparison

Dr. Carmack (5 Years) 5 Yrs
Provo Specialty Average (14.2 Years) 14.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-07-20
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License UT 12267033-3502

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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License UT 884

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Wasatch Behavioral Health Special Service District

750 N Freedom Blvd, Provo, UT 846011677

Phone: 8013734760

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nicole Cossey , HSW

Case Manager/Care Coordinator

NPI 1003082793
Brent Simons

Social Worker

NPI 1003106196
Louie Hamner

Student in an Organized Health Care Education/Training Program

NPI 1003114232
Sunnie Giles

Student in an Organized Health Care Education/Training Program

NPI 1003194325
Dr. Eliza Gedge , PhD, LP

Psychologist - Clinical

NPI 1003197658

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Vili Lolohea

Student in an Organized Health Care Education/Training Program

NPI 1003199191

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated July 20, 2021

Recorded as DEREK CARMACK, CPSS, CSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Social Worker (License #12267033-3502 in UT)

👤
Provider Name / Credentials Updated June 17, 2021

Recorded as DEREK CARMACK, CPSS, CSWI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2021

Social Worker (License #12267033-3506 in UT)

👤
Provider Name / Credentials Updated May 06, 2020

Recorded as DEREK CARMACK, CPSS, MSWI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2020

Student in an Organized Health Care Education/Training Program

NPI Profile Active January 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2019

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

📍
Updated Business Mailing Address January 17, 2019

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

👤
Provider Name / Credentials Updated January 17, 2019

Recorded as DEREK CARMACK, CPSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2019

Peer Specialist (License #884 in UT)

🟢
Initial NPI Registration & Enumeration January 17, 2019

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: 1730653254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2019
Last Update: July 20, 2021
Sole Proprietor: No

Mailing Address

750 N Freedom Blvd

Provo, UT 846011677

Phone: 8013734760

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.