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MR. DEDRIC DEAN DAVIDSON LCSW
NPI 1407783665
Counselor - Mental Health in West Jordan, UT

Active since May 04, 2026
5318 BAGLEY PARK RD, WEST JORDAN, UT 84081(435) 660-1921 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, May 4, 2026 (2 updates tracked since 2026).

About Mr. Dedric Dean Davidson Lcsw NPPES

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

MR. DEDRIC DEAN DAVIDSON LCSW (NPI 1407783665) is an individual mental health provider in West Jordan, Utah, licensed in Utah (10858154-3501) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1407783665
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DEDRIC DEAN DAVIDSONCredential: LCSW
Location Address5318 BAGLEY PARK RDWest Jordan, UT 84081-5885
Mailing Address6469 W 7910 SWest Jordan, UT 84081-5885 · (435) 660-1921
Phone(435) 660-1921
Sole ProprietorYes
Enumeration DateMay 4, 2026
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1407783665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 10858154-3501
5318 BAGLEY PARK RD, West Jordan, UT 84081
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Dedric Davidson's NPI number?

The NPI number for Dedric Davidson is 1407783665. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Dedric Davidson located?

Dedric Davidson practices at 5318 Bagley Park Rd, West Jordan, UT 84081. The listed phone number is (435) 660-1921.

What is Dedric Davidson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dedric Davidson was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.