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MR. LUCAS JAMES MOULTON LCSW, CRC, LVRC
NPI 1265707038
Social Worker - Clinical in Orem, UT

Active since March 13, 2012Opted out of Medicare · through Oct 1, 2027
1358 PROVO SLOUGH ACCESS RD, OREM, UT 84058(801) 373-1197 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Lucas James Moulton Lcsw, Crc, Lvrc NPPES

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

MR. LUCAS JAMES MOULTON LCSW, CRC, LVRC (NPI 1265707038) is an individual clinical provider in Orem, Utah, licensed in Utah (7126504-3501) and active in the NPI registry since March 2012. He has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1265707038
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. LUCAS JAMES MOULTONCredential: LCSW, CRC, LVRC
Location Address1358 PROVO SLOUGH ACCESS RDOrem, UT 84058
Mailing Address1358 Provo Slough Access RdOrem, UT 84058 · (801) 373-1197
Phone(801) 373-1197
Sole ProprietorNo
Enumeration DateMarch 13, 2012
✔ NPI 1265707038 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 · 7126504-3501
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.
1358 PROVO SLOUGH ACCESS RD, Orem, UT 84058
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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. Lucas James Moulton Lcsw, Crc, Lvrc 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 October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Lucas Moulton's NPI number?

The NPI number for Lucas Moulton is 1265707038. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Lucas Moulton located?

Lucas Moulton practices at 1358 Provo Slough Access Rd, Orem, UT 84058. The listed phone number is (801) 373-1197.

What is Lucas Moulton's specialty?

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

Is Lucas Moulton enrolled in Medicare?

No. Lucas Moulton has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lucas Moulton was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.