1. Home
  2. Directory
  3. Utah
  4. Sandy
  5. Social Worker
  6. NPI Profile

MR. MICHAEL K. FILLMORE LCSW
NPI 1023103538
Social Worker - Clinical in Sandy, UT

Active since October 03, 2006Opted out of Medicare · through Apr 1, 2027
625 E 8400 S, SANDY, UT 84070(801) 566-2556(801) 566-2639 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael K. Fillmore Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL K. FILLMORE LCSW (NPI 1023103538) is an individual clinical provider in Sandy, Utah, licensed in Utah (4800488-3501) and active in the NPI registry since October 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023103538
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL K. FILLMORECredential: LCSW
Location Address625 E 8400 SSandy, UT 84070-0525
Mailing Address625 E 8400 SSandy, UT 84070-0525 · (801) 566-2556 · Fax (801) 566-2639
Phone(801) 566-2556
Fax(801) 566-2639
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 4, 2011
✔ NPI 1023103538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 4800488-3501
Definition
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.
625 E 8400 S, Sandy, UT 84070
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Michael K. Fillmore Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK HAMILTON GLADE L.C.S.W.
Social Worker (Clinical)
625 E 8400 S
SANDY, UT 84070
Salt Lake County (801) 566-2556
KENDRA L STIGGINS LCSW
Social Worker
625 E 8400 S
SANDY, UT 84070
Salt Lake County (801) 566-2556
KIRK VOSS L.M.F.T.
Marriage & Family Therapist
625 E 8400 S
SANDY, UT 84070
Salt Lake County (801) 566-2556
ELIZABETH ANN BRINTON PH. D., LMFT
Marriage & Family Therapist
625 E 8400 S
SANDY, UT 84070
Salt Lake County (801) 566-2556
DR. SCOTT LEWIS ANDERSON PH.D.
Marriage & Family Therapist
625 E 8400 S
SANDY, UT 84070
Salt Lake County (801) 566-2556
MS. HEATHER GREEN L.C.S.W.
Social Worker (Clinical)
625 E 8400 S, LDS FAMILY SERVICES
SANDY, UT 84070
Salt Lake County (801) 566-2556
JENNIFER BROWN MAED, MC, LPC
Counselor (Professional)
625 E 8400 S
SANDY, UT 84070
Salt Lake County (801) 566-2556
VALERIE JEAN WILSON ACMHC
Counselor (Mental Health)
625 E 8400 S
SANDY, UT 84070
Salt Lake County (801) 566-2556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fillmore's NPI number?

The NPI number for Michael Fillmore is 1023103538. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Michael Fillmore located?

Michael Fillmore practices at 625 E 8400 S, Sandy, UT 84070. The listed phone number is (801) 566-2556.

What is Michael Fillmore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Fillmore enrolled in Medicare?

No. Michael Fillmore has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Fillmore was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.