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

MILLCREEK THERAPY PSYCHOLOGICAL SERVICES
NPI 1033811401
Social Worker - Clinical in Millcreek, UT

Active since March 20, 2023
1398 E LUCK LN, MILLCREEK, UT 84106(801) 870-3716 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2023, Mar 20, 2023 (2 updates tracked since 2023).

About Millcreek Therapy Psychological Services NPPES

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

MILLCREEK THERAPY PSYCHOLOGICAL SERVICES (NPI 1033811401) is a healthcare organization registered as a clinical in Millcreek, Utah and active in the NPI registry since March 2023. The organization lists Nancy Kimmerly, Owner / Lcsw, as its authorized official.

NPPES Registry Identity

NPI1033811401
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMILLCREEK THERAPY PSYCHOLOGICAL SERVICES
Location Address1398 E LUCK LNMillcreek, UT 84106-2944
Mailing Address1398 E Luck LnMillcreek, UT 84106-2944
Phone(801) 870-3716
Organization SubpartNo
Authorized OfficialNancy KimmerlyOwner / Lcsw · (801) 870-3716
Enumeration DateMarch 20, 2023
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1033811401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1398 E LUCK LN, Millcreek, UT 84106
Open in Google Maps ↗

Other Names 1

Doing Business AsMillcreek Therapy Psychological Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Millcreek Therapy Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Millcreek Therapy Psychological Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nancy Kimmerly, PHD, CSW
Clinical Social Worker
NPI 1548752264
4000 S 700 E STE 9
Salt Lake City, UT 84107
(801) 441-0816
✔ PECOS✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Millcreek Therapy Psychological Services's NPI number?

The NPI number for Millcreek Therapy Psychological Services is 1033811401. It was assigned to this organization in the NPPES registry on March 20, 2023.

Where is Millcreek Therapy Psychological Services located?

Millcreek Therapy Psychological Services is located at 1398 E Luck Ln, Millcreek, UT 84106. The listed phone number is (801) 870-3716.

What is Millcreek Therapy Psychological Services's specialty?

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

Is Millcreek Therapy Psychological Services enrolled in Medicare?

Yes. Millcreek Therapy Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Millcreek Therapy Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Millcreek Therapy Psychological Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Millcreek Therapy Psychological Services accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Millcreek Therapy Psychological Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Millcreek Therapy Psychological Services was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.