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DEOJUVANTEH TSO LCSW
NPI 1912547191
Social Worker - Clinical in Salt Lake City, UT

Active since January 15, 2020PECOS Enrolled
660 S 200 E STE 250, SALT LAKE CITY, UT 84111(801) 364-4392 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2023, Jan 15, 2020 (2 updates tracked since 2020).

About Deojuvanteh Tso Lcsw NPPES

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

DEOJUVANTEH TSO LCSW (NPI 1912547191) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (118228133501) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912547191
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEOJUVANTEH TSOCredential: LCSW
Location Address660 S 200 E STE 250Salt Lake City, UT 84111-3846
Mailing Address660 S 200 E Ste 250Salt Lake City, UT 84111-3846
Phone(801) 364-4392
Sole ProprietorYes
Enumeration DateJanuary 15, 2020
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1912547191 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
License✔ Licensed in UT · 118228133501
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
660 S 200 E STE 250, Salt Lake City, UT 84111
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deojuvanteh Tso 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.

Medicare Billing Reassignment

Medicare enrollment records show Deojuvanteh Tso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Confederated Tribes Of The Goshute Reservation
1.0 mi
Clinic/Center
660 S 200 E, SUITE 250
Salt Lake City, UT 84111
  • Reassigned Medicare billing, Texas enrollment
  • 72 clinicians in this Medicare group
NPI 1992141964 (801) 359-2256

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 84111 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.

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Salt Lake County (801) 359-2256
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Salt Lake County (801) 359-2256
ELIZABETH NEILSON DPT
Physical Therapist
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Salt Lake County (801) 359-2256
CONFEDERATED TRIBES OF THE GOSHUTE INDIAN RESERVATION
Optometrist
660 S 200 E STE 250
SLC, UT 84111
Salt Lake County (801) 359-2256
MR. TODD PHILIP SCHUSTER P.A.
Family Medicine
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Salt Lake County (801) 359-2256
TYLER ELWOOD
Dentist (General Practice)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Salt Lake County (801) 356-2256
SIERRA ANNE BURNETT APRN, WHNP-NC
Nurse Practitioner
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Salt Lake County (801) 359-2256
BRAD CHRISTENSEN
Social Worker (Clinical)
660 S 200 E STE 250
SALT LAKE CITY, UT 84111
Salt Lake County (801) 359-2256

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 Deojuvanteh Tso's NPI number?

The NPI number for Deojuvanteh Tso is 1912547191. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Deojuvanteh Tso located?

Deojuvanteh Tso practices at 660 S 200 E Ste 250, Salt Lake City, UT 84111. The listed phone number is (801) 364-4392.

What is Deojuvanteh Tso's specialty?

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

Is Deojuvanteh Tso enrolled in Medicare?

Yes. Deojuvanteh Tso is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deojuvanteh Tso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deojuvanteh Tso reassigns Medicare benefits to Confederated Tribes Of The Goshute Reservation (Salt Lake City, UT). The 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 Deojuvanteh Tso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deojuvanteh Tso accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Deojuvanteh Tso 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 Deojuvanteh Tso was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.