JEFFREY BRECKENRIDGE CSW
NPI 1649895954
Social Worker - Clinical in Provo, UT

Q: What is Jeffrey Breckenridge's NPI number?

The NPI number for Jeffrey Breckenridge is 1649895954. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Q: What is Jeffrey Breckenridge's specialty?

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

Active since June 11, 2020PECOS Enrolled

750 N FREEDOM BLVD, PROVO, UT 84601(476) 080-1373(801) 373-0639 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2026, Nov 26, 2025, Sep 8, 2021 and 1 more (4 updates tracked since 2020).

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About Jeffrey Breckenridge Csw NPPES

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

JEFFREY BRECKENRIDGE CSW (NPI 1649895954) is an individual clinical provider in Provo, Utah, licensed in Idaho (8911450) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649895954

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJEFFREY BRECKENRIDGECredential: CSW

Location Address750 N FREEDOM BLVDProvo, UT 84601-1677

Mailing Address743 E 1060 SSpringville, UT 84663-2867 · (801) 472-1082

Phone(476) 080-1373

Fax(801) 373-0639

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 11, 2020

Last NPPES UpdateMarch 20, 20264 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1649895954 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 ID · 8911450

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.

750 N FREEDOM BLVD, Provo, UT 84601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Breckenridge Csw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830674100

PECOS Enrollment IDI20260403001735

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84601 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.

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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.

ELIZA RACHELLE GEDGE PH.D., LP

Psychologist (Clinical)