MR. DAVID JOACHIM CLISBEE LCSW
NPI 1396851424
Social Worker - Clinical in Provo, UT

Active since August 22, 2006Opted out of Medicare · through Apr 1, 2027

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Joachim Clisbee Lcsw NPPES

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

MR. DAVID JOACHIM CLISBEE LCSW (NPI 1396851424) is an individual clinical provider in Provo, Utah, licensed in Utah (49898683502) and active in the NPI registry since August 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396851424
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DAVID JOACHIM CLISBEECredential: LCSW
Location Address1190 N 900 EProvo, UT 84604-3536
Mailing Address407 E 950 NSpringville, UT 84663-3118 · (801) 491-3175
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateNovember 24, 2009
NPI 1396851424 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 · 49898683502
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.

1190 N 900 E, Provo, UT 84604

Accepted Insurance

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. David Joachim Clisbee 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 84604 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.

Counselor (Professional)
1190 N 900 E
PROVO, UT 84604
Student in an Organized Health Care Education/Training Program
1190 N 900 E
PROVO, UT 84604
Psychologist (Clinical)
1190 N 900 E
PROVO, UT 84604
Social Worker (Clinical)
1190 N 900 E
PROVO, UT 84604
Clinic/Center (Hearing and Speech)
1190 N 900 E
PROVO, UT 84604
Marriage & Family Therapist
1190 N 900 E, 274 TLRB- BYU
PROVO, UT 84604
Counselor (Professional)
1190 N 900 E
PROVO, UT 84604
Student in an Organized Health Care Education/Training Program
1190 N 900 E
PROVO, UT 84604

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 David Clisbee's NPI number?

The NPI number for David Clisbee is 1396851424. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is David Clisbee located?

David Clisbee practices at 1190 N 900 E, Provo, UT 84604. The listed phone number is (801) 422-7620.

What is David Clisbee's specialty?

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

Is David Clisbee enrolled in Medicare?

No. David Clisbee 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.

What insurance does David Clisbee accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list David Clisbee 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 David Clisbee was last updated on November 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.