BRAXTON T DUTSON
NPI 1659650489
Social Worker in Salt Lake City, UT

Q: What is Braxton Dutson's NPI number?

The NPI number for Braxton Dutson is 1659650489. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Q: What is Braxton Dutson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Braxton Dutson enrolled in Medicare?

No. Braxton Dutson has opted out of Medicare through April 18, 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.

Q: When was this NPI record last updated?

The NPPES record for Braxton Dutson was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 10, 2011Opted out of Medicare · through Apr 18, 2027

607 E 200 S, SALT LAKE CITY, UT 84102(801) 363-0203(801) 359-3455 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Braxton T Dutson NPPES

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

BRAXTON T DUTSON (NPI 1659650489) is an individual social worker in Salt Lake City, Utah and active in the NPI registry since August 2011. He has opted out of Medicare through April 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659650489

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameBRAXTON T DUTSON

Location Address607 E 200 SSalt Lake City, UT 84102-2110

Mailing Address607 E 200 SSalt Lake City, UT 84102-2110 · (801) 363-0203 · Fax (801) 359-3455

Phone(801) 363-0203

Fax(801) 359-3455

Sole ProprietorNo

Enumeration DateAugust 10, 2011

✔ NPI 1659650489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

607 E 200 S, Salt Lake City, UT 84102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Braxton T Dutson 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 18, 2025 through April 18, 2027.

Opt-Out Effective DateApril 18, 2025

Opt-Out In Effect ThroughApril 18, 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.

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.

JESENIA SANCHEZ

Counselor