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MR. TIMOTHY SHEA ENNISS LCSW
NPI 1750487864
Social Worker - Clinical in Salt Lake City, UT

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
1208 E 3300 S, SALT LAKE CITY, UT 84106(801) 483-1600(801) 483-1610 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy Shea Enniss Lcsw NPPES

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

MR. TIMOTHY SHEA ENNISS LCSW (NPI 1750487864) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (5664530-3501) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1750487864
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TIMOTHY SHEA ENNISSCredential: LCSW
Location Address1208 E 3300 SSalt Lake City, UT 84106-2522
Mailing Address2922 W 12875 SRiverton, UT 84065-6846 · (801) 979-1305
Phone(801) 483-1600
Fax(801) 483-1610
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 15, 2006
Last NPPES UpdateApril 12, 2017
✔ NPI 1750487864 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 · 5664530-3501
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.
1208 E 3300 S, Salt Lake City, UT 84106
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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, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Timothy Shea Enniss 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 ID5799800124
PECOS Enrollment IDI20100908001151
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 84106 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.

DR. JULIA KRONHOLZ PHD
Psychologist (Clinical)
1208 E 3300 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 483-1600
ERIN DELANEY LCSW
Social Worker (Clinical)
1208 E 3300 S
MILLCREEK, UT 84106
Salt Lake County (801) 483-1600
MS. SUSAN E HOLLENBECK LCSW
Social Worker (Clinical)
1208 E 3300 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 483-1600
DR. MARK DAVID NEUMAN MD
Psychiatry & Neurology (Psychiatry)
1208 E 3300 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 483-1600
MRS. MARIE SEOANE LCSW
Social Worker (Clinical)
1208 E 3300 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 483-1600
SYMBIOSIS COUNSELING
Clinic/Center
1208 E 3300 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 468-1600
MOLLY KATHLEEN CHYNOWETH PRENTICE LCSW
Social Worker (Clinical)
1208 E 3300 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 483-1600
COMPREHENSIVE PSYCHOLOGICAL SERVICES INC
Psychologist
1208 E 3300 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 483-1600

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 Timothy Enniss's NPI number?

The NPI number for Timothy Enniss is 1750487864. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Timothy Enniss located?

Timothy Enniss practices at 1208 E 3300 S, Salt Lake City, UT 84106. The listed phone number is (801) 483-1600.

What is Timothy Enniss's specialty?

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

Is Timothy Enniss enrolled in Medicare?

Yes. Timothy Enniss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Enniss accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Timothy Enniss 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 Timothy Enniss was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.