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Kaydon Robert Bradshaw

Social Worker - Clinical β€’ Provo, UT

Active NPI 1922588003 Individual Practitioner Male 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

2018

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

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Addresses are self-reported to NPPES and may be out of date.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: 2026-09-25
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES UT 13992047-3501

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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
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

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2026

Social Worker (license number reported to NPPES: UT 13992047-3501)

πŸ“
Updated Practice Location May 20, 2024

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

πŸ“
Updated Business Mailing Address May 20, 2024

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

βœ…
NPI Profile Active August 17, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 17, 2018

Registered at 6484 N 2300 W, CEDAR CITY, UT 847217102 (Tel: 4358674876)

πŸ“
Business Mailing Address (Initial Record) August 17, 2018

Registered at 6484 N 2300 W, CEDAR CITY, UT 847217102 (Tel: 4358674876)

πŸ‘€
Provider Name / Credentials (Initial Record) August 17, 2018

Recorded as KAYDON BRADSHAW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2018

Counselor

🟒
Initial NPI Registration & Enumeration August 17, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922588003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2018
Last Update: September 25, 2026
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.