Mr Derek Paul Davis, LCSW - Clinical Social Worker in Provo, UT

Mr Derek Paul Davis, LCSW is a Social Worker - Clinical based in Provo, Utah. Mr Derek Paul Davis is licensed to practice in Utah (license number 139877-3501) and his current practice location is 1300 E Center St, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 344-4215.

NPI number for Mr Derek Paul Davis is 1386624625 and his current mailing address is Po Box 270, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386624625.

Contact Information

Mr Derek Paul Davis, LCSW
1300 E Center St,
Provo, UT 84606-3554
(801) 344-4215
Not Available



Healthcare Provider's Profile

Full NameMr Derek Paul Davis
GenderMale
SpecialitySocial Worker - Clinical
Location1300 E Center St, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386624625
  • Provider Enumeration Date: 01/20/2006
  • Last Update Date: 06/28/2019

Medical Identifiers

Medical identifiers for Mr Derek Paul Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386624625NPI-NPPES
107001373101OtherUTINTERMOUNTAIN HEALTH CARE
261878OtherUTDESERET MUTUAL
942938348DAVOtherUTEDUCATORS MUTUAL
942938348OtherUTCHAMPUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 139877-3501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Derek Paul Davis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Derek Paul Davis, LCSW
Po Box 270,
Provo, UT 84603-0270

Ph: (801) 344-4400
Mr Derek Paul Davis, LCSW
1300 E Center St,
Provo, UT 84606-3554

Ph: (801) 344-4215

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› Verified 4 days ago


Social Worker in Provo, UT

Dallas Bean,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 750 N 200 W Ste 300, Provo, UT 84601
Phone: 801-373-4760    
Brenna Garrett, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1300 E Center St, Provo, UT 84606
Phone: 801-344-4400    
Mrs. Karen Dee Amsden, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 750 N Freedom Blvd, Provo, UT 84601
Phone: 801-373-4760    
Mr. John Paul Lilly, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 286 S 600 E, Suite C, Provo, UT 84606
Phone: 801-377-8232    Fax: 801-377-0930
Frederick Brewer, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 750 N Freedom Blvd, Suite 108, Provo, UT 84601
Phone: 801-373-7394    
William Kory Camp, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1300 E Center St, Provo, UT 84606
Phone: 801-344-4215    
Alaina Barrick, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4045 N Canyon Rd, Provo, UT 84604
Phone: 859-582-0032    

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