Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER KJELL TAYSOM
DeactivatedSPENCER KJELL TAYSOM is a Clinical Social Worker healthcare provider located in PROVO, Utah. NPI 1780163295 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · PROVO, UT
This NPI has been deactivated.
The record was deactivated on June 16, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1780163295
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2018 (3.8575342465753 yrs)
- Last Updated
- Jun 17, 2024
- Deactivated
- Jun 16, 2022
- License
-
10906718-3501 (UT)
Practice Information
- Address
-
750 N FREEDOM BLVD STE 300PROVO, UT, 846011690Browse UT providers · Browse ZIP 84601
- Phone
- 8013734760
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| MR. JEREMY LEE CHRISTENSEN | LCSW | 1205812450 |
| MS. AMY BUEHLER | LCSW | 1679551634 |
| MR. DEREK PAUL DAVIS | LCSW | 1386624625 |
| MARK MARTIN | LCSW | 1356316392 |
| MARY ANN CARTER | LCSW | 1518926880 |
| MR. DORAN RAY WILLIAMS | LCSW | 1376500074 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.