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Stacey Davis

Social Worker - Clinical β€’ Provo, UT

Active NPI 1073809489 Individual Practitioner Female Practitioner
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
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.

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, 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)

Stacey Davis 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 Stacey Davis 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: 2025-01-17
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES UT 5425606-3502

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.

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

I20230410001439

Enrollment State Jurisdiction

UT

PECOS Control ID

6103291919

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.

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
Karen Amsden , LCSW

Social Worker - Clinical

NPI 1023109717

Licensed Clinical Social Worker

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location January 17, 2025

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

πŸ“
Updated Business Mailing Address January 17, 2025

Registered at 750 N FREEDOM BLVD STE 300, PROVO, UT 846011690 (Tel: 8013734760)

πŸ‘€
Provider Name / Credentials Updated January 17, 2025

Recorded as STACEY DAVIS

πŸ“
Updated Practice Location July 20, 2021

Registered at 575 E. 100 S., PRICE, UT 84501 (Tel: 4356372358)

πŸ“
Updated Business Mailing Address July 20, 2021

Registered at PO BOX 867, PRICE, UT 845010867 (Tel: 4356377200)

πŸ‘€
Provider Name / Credentials Updated July 20, 2021

Recorded as STACEY DAVIS, DOULA, CMA

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

Social Worker (license number reported to NPPES: UT 5425606-3502)

βœ…
NPI Profile Active June 23, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 23, 2011

Registered at 852 NORTH 2350 WEST, PROVO, UT 84601 (Tel: 8013608480)

πŸ“
Business Mailing Address (Initial Record) June 23, 2011

Registered at 852 NORTH 2350 WEST, PROVO, UT 84601 (Tel: 8013608480)

πŸ‘€
Provider Name / Credentials (Initial Record) June 23, 2011

Recorded as STACEY WILLIAMS, DOULA, CMA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2011

Doula

🟒
Initial NPI Registration & Enumeration June 23, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073809489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2011
Last Update: January 17, 2025
Sole Proprietor: No

Other Social Worker - Clinicals in Provo

All Social Worker - Clinicals in Provo

Mailing Address

750 N Freedom Blvd Ste 300

Provo, UT 846011690

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.