MCKENNA WALLENTINE LCSW
NPI 1881142552
Social Worker - Clinical in Provo, UT

Q: What is Mckenna Wallentine's NPI number?

The NPI number for Mckenna Wallentine is 1881142552. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Q: What is Mckenna Wallentine's specialty?

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

Active since September 12, 2016PECOS Enrolled

1300 E CENTER ST, PROVO, UT 84606(801) 344-4215 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 16, 2021, Sep 12, 2016 (2 updates tracked since 2016).

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About Mckenna Wallentine Lcsw NPPES

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

MCKENNA WALLENTINE LCSW (NPI 1881142552) is an individual clinical provider in Provo, Utah and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881142552

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMCKENNA WALLENTINECredential: LCSW

Location Address1300 E CENTER STProvo, UT 84606-3554

Mailing Address1300 E Center StProvo, UT 84606-3554 · (801) 344-4215

Phone(801) 344-4215

Sole ProprietorNo

Enumeration DateSeptember 12, 2016

Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2021

✔ NPI 1881142552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

Also ListedBehavior AnalystTaxonomy 103K00000X

1300 E CENTER ST, Provo, UT 84606

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenna Wallentine Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84606 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.

AARON EUGENE DEGRISELLES CTRS

Recreation Therapist