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Derek Benjamin Carmack , CPSS, CSW

Social Worker - Clinical β€’ Provo, UT

Active NPI 1730653254 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

750 N Freedom Blvd
Provo, UT 846011677

Call 8013734760 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

750 N Freedom Blvd

Provo, UT 846011677

Telephone 8013734760
Fax 8013730639
Organization at the Same NPPES Address or Phone
Wasatch Behavioral Health Special Service District Facility NPI 1356357115

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

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Wasatch Behavioral Health Special Service District. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2021

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2019

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Derek Carmack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Derek Carmack as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Provo and Utah

463 active clinicians are listed under Social Worker - Clinical with a practice address in Provo, UT (5,639 in Utah).

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

Telehealth indicator in Provo

2.2% of these 463 clinicians have the CMS telehealth indicator.

16% of these 463 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2021-07-20
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES 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

License # reported to NPPES 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.

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20230822004113

Enrollment State Jurisdiction

UT

PECOS Control ID

4789047804

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Wasatch Behavioral Health Special Service District

1157 E 300, Provo, UT 846063539

Phone: 8013734760

Wasatch Behavioral Health Special Service District

750 N Freedom Blvd, Provo, UT 846011677

Phone: 8013734760

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
Karen Amsden , LCSW

Social Worker - Clinical

NPI 1023109717

Licensed Clinical Social Worker

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‘€
Provider Name / Credentials Updated July 20, 2021

Recorded as DEREK CARMACK, CPSS, CSW

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

Social Worker (license number reported to NPPES: UT 12267033-3502)

πŸ‘€
Provider Name / Credentials Updated June 17, 2021

Recorded as DEREK CARMACK, CPSS, CSWI

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

Social Worker (license number reported to NPPES: UT 12267033-3506)

πŸ‘€
Provider Name / Credentials Updated May 06, 2020

Recorded as DEREK CARMACK, CPSS, MSWI

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

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active January 17, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 17, 2019

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

πŸ“
Business Mailing Address (Initial Record) January 17, 2019

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

πŸ‘€
Provider Name / Credentials (Initial Record) January 17, 2019

Recorded as DEREK CARMACK, CPSS

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

Peer Specialist (license number reported to NPPES: UT 884)

🟒
Initial NPI Registration & Enumeration January 17, 2019

First registered as active Individual Practitioner in NPPES Database.

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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

Other Social Worker - Clinicals in Provo

All Social Worker - Clinicals in Provo

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.