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Blake Nelson Berry

Social Worker β€’ Eagle Mountain, UT

Active NPI 1548537772 Individual Practitioner Male Practitioner
Practice location in NPPES

3714 E Campus Dr Ste 101
Eagle Mountain, UT 840055451

Call 8017897780 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3714 E Campus Dr Ste 101

Eagle Mountain, UT 840055451

Telephone 8017897780
Organization at the Same NPPES Address or Phone
Darren J Gillespie Lcsw, Llc Facility NPI 1356843049

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eagle Mountain and Utah

4 active clinicians are listed under Social Worker with a practice address in Eagle Mountain, UT (1,922 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES UT 12110885-3502

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Cheryl Scholes , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1184952822

Nurse Practitioner (Certified)

Ammon Veil , LCSW

Social Worker - Clinical

NPI 1811566342

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 20, 2026

Registered at 3714 E CAMPUS DR STE 101, EAGLE MOUNTAIN, UT 840055451 (Tel: 8017897780)

πŸ“
Updated Business Mailing Address May 20, 2026

Registered at 3714 E CAMPUS DR STE 101, EAGLE MOUNTAIN, UT 840055451 (Tel: 8017897780)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2026

Social Worker (license number reported to NPPES: UT 12110885-3502)

βœ…
NPI Profile Active November 16, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 16, 2011

Registered at 1481 W WARM SPRINGS RD, 129, HENDERSON, NV 890147633 (Tel: 7028068618)

πŸ“
Business Mailing Address (Initial Record) November 16, 2011

Registered at 1481 W WARM SPRINGS RD, 129, HENDERSON, NV 890147633 (Tel: 7028068618)

πŸ‘€
Provider Name / Credentials (Initial Record) November 16, 2011

Recorded as BLAKE BERRY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2011

Rehabilitation Counselor

🟒
Initial NPI Registration & Enumeration November 16, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548537772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2011
Last Update: May 20, 2026
Sole Proprietor: No

Mailing Address

3714 E Campus Dr Ste 101

Eagle Mountain, UT 840055451

Phone: 8017897780

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.