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MICHAEL HIGGINS LCSW
NPI 1780038141
Social Worker - Clinical in Salt Lake City, UT

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
1161 E LORRAINE DR, SALT LAKE CITY, UT 84106(801) 466-3535 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Higgins Lcsw NPPES

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

MICHAEL HIGGINS LCSW (NPI 1780038141) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (7901158-3501) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1780038141
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL HIGGINSCredential: LCSW
Location Address1161 E LORRAINE DRSalt Lake City, UT 84106-2508
Mailing Address1161 E Lorraine DrSalt Lake City, UT 84106-2508 · (801) 466-3535
Phone(801) 466-3535
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 21, 2016
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1780038141 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 · 7901158-3501
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.
1161 E LORRAINE DR, Salt Lake City, UT 84106
Open in Google Maps ↗

Other Identifiers 1

Other7901158-3501UT · Dopl

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Higgins 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 ID9739413832
PECOS Enrollment IDI20190624002025
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Higgins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Behavioral Health Services
0.8 mi
Psychiatry
30 N 1900 E STE 1B620
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
NPI 1376947051 (801) 581-6228
University Of Utah Healthcare
3.2 mi
Residential Treatment Facility, Emotionally Disturbed Children
51 W 3900 S
Salt Lake City, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: University Of Utah
  • 144 clinicians in this Medicare group
NPI 1235546573 (801) 587-2370
Stepstone Connect LLC
14 mi
Mental Health (Including Community Mental Health Center)
190 W 100 S STE B
Bountiful, UT 84010
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1124536461 (866) 518-2985

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

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 Michael Higgins's NPI number?

The NPI number for Michael Higgins is 1780038141. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Michael Higgins located?

Michael Higgins practices at 1161 E Lorraine Dr, Salt Lake City, UT 84106. The listed phone number is (801) 466-3535.

What is Michael Higgins's specialty?

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

Is Michael Higgins enrolled in Medicare?

Yes. Michael Higgins 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.

Which organizations bill Medicare for Michael Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Higgins reassigns Medicare benefits to 3 organizations: University Of Utah Behavioral Health Services (Salt Lake City, UT), University Of Utah Healthcare (Salt Lake City, UT) and Stepstone Connect LLC (Bountiful, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Higgins accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Michael Higgins 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 Michael Higgins was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.