LETICIA HAACKE LCSW
NPI 1376822098
Social Worker - Clinical in Salt Lake City, UT

Q: What is Leticia Haacke's NPI number?

The NPI number for Leticia Haacke is 1376822098. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Q: What is Leticia Haacke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leticia Haacke was last updated on July 19, 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.

Active since August 11, 2011PECOS EnrolledAccepts Medicare Assignment

5965 S 900 E, SALT LAKE CITY, UT 84121(801) 263-7100 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2023, Aug 17, 2021, Aug 11, 2021 (3 updates tracked since 2021).

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About Leticia Haacke Lcsw NPPES

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

LETICIA HAACKE LCSW (NPI 1376822098) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (8283071-3501) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Valley City, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1376822098

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLETICIA HAACKECredential: LCSW

Location Address5965 S 900 ESalt Lake City, UT 84121-1720

Mailing Address4052 West 3390 South, Suite 105West Valley City, UT 84120 · (801) 964-3111

Phone(801) 263-7100

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 11, 2011

Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1376822098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in UT · 8283071-3501

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 8283071-3501 (UT)

5965 S 900 E, Salt Lake City, UT 84121

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Secondary Practice Location 1

Location 14052 W 3390 S, Ste 105West Valley City, UT 84120 · Phone (801) 964-3111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leticia Haacke Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981001401

PECOS Enrollment IDI20210927002104

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Leticia Haacke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Catholic Health Initiatives Colorado

1.7 mi

Family Medicine

1575 W 7000 S
West Jordan, UT 84084

Reassigned Medicare billing, Utah enrollment
136 clinicians in this Medicare group

NPI 1922700095 (801) 569-9133

Physician Group Of Utah Inc

6.4 mi

Specialist

406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095

Reassigned Medicare billing, Utah enrollment
254 clinicians in this Medicare group

NPI 1477676930 (801) 984-3418

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 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.

MS. CRYSTAL RENEE COX LPN

Licensed Practical Nurse