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Kaisha Davis

Social Worker - Clinical β€’ Orem, UT

Active NPI 1952076267 Individual Practitioner Female Practitioner
Practice location in NPPES

901 S Orem Blvd
Orem, UT 840585011

Call 8019609622 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

901 S Orem Blvd

Orem, UT 840585011

Telephone 8019609622
Fax 8013730639
Organization at the Same NPPES Address or Phone
John Burr, Inc Facility NPI 1134525447

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

NPI first issued

2021

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 Orem and Utah

219 active clinicians are listed under Social Worker - Clinical with a practice address in Orem, UT (5,486 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orem

0.5% of these 219 clinicians have the CMS telehealth indicator.

5.5% of these 219 clinicians are listed by CMS as accepting Medicare assignment.

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: 2024-04-18
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES UT 13432043-3502

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.

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.

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.

1 listed
Gary Webb , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063962140

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location April 18, 2024

Registered at 901 S OREM BLVD, OREM, UT 840585011 (Tel: 8019609622)

πŸ“
Updated Business Mailing Address April 18, 2024

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

πŸ‘€
Provider Name / Credentials Updated April 18, 2024

Recorded as KAISHA DAVIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2024

Student in an Organized Health Care Education/Training Program

πŸ”„
NPI Profile Reactivated April 17, 2024

Record officially reactivated for active practice on April 17, 2024

⚠️
NPI Profile Deactivated March 19, 2024

NPPES lists this NPI as deactivated as of March 19, 2024; the reason is not published.

βœ…
NPI Profile Active August 10, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 10, 2021

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

πŸ“
Business Mailing Address (Initial Record) August 10, 2021

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

πŸ‘€
Provider Name / Credentials (Initial Record) August 10, 2021

Recorded as KAISHA DAVIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 10, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952076267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2021
Last Update: April 18, 2024
Sole Proprietor: No

Other Social Worker - Clinicals in Orem

Healthcare providers in Orem

Mailing Address

750 N Freedom Blvd

Provo, UT 846011677

Phone: 8013734760

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.