JEFFREY BRECKENRIDGE CSW
NPI 1649895954
Social Worker in Provo, UT
NPI Status: Active since June 11, 2020
Contact Information
750 N FREEDOM BLVD
PROVO, UT
ZIP 84601
Phone: (476) 080-1373
Fax: (801) 373-0639
- Individual
- Male
- Social Worker
- Accepts Insurance
About JEFFREY BRECKENRIDGE
This page provides the complete NPI Profile along with additional information for Jeffrey Breckenridge, a provider established in Provo, Utah with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1649895954 assigned on June 2020. The practitioner's primary taxonomy code is 104100000X with license number 12308109-3506 (UT). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1649895954
- Provider Name
- JEFFREY BRECKENRIDGE CSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 750 N FREEDOM BLVD PROVO, UT 84601
- Location Phone
- (476) 080-1373
- Location Fax
- (801) 373-0639
- Mailing Address
- 743 E 1060 S SPRINGVILLE, UT 84663
- Mailing Phone
- (801) 472-1082
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-11-2020
- Last Update Date
- 09-08-2021
- Code Navigator
A social worker like Jeffrey Breckenridge helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 12308109-3506
- License State
- UT
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 8 | 9 | 5 | 9 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 16 | 9 | 10 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 6 + 9 + 1 + 0 + 9 + 1 + 0 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1649895954 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760581359 | SUZANNE MARIE CECIL STEPHENS LCSW Individual | Social Worker (Clinical) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1619076205 | JOEL WALLACE HANSON MD Individual | Psychiatry & Neurology (Psychiatry) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1124127709 | RANDOLPH DAY GLASSCOCK SSW Individual | Social Worker | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1013018696 | BONNIE ANGELL PARKIN SSW Individual | Social Worker | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1851492433 | THOMAS SCOTT PARKINSON RN Individual | Registered Nurse (Psychiatric/Mental Health) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1316048952 | SHAWNA MARIE FISHER SSW Individual | Social Worker | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1356442982 | CRAIG ALLRED BLEAK CSW Individual | Social Worker (Clinical) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1821199472 | ELIJAH KIMBALL NIELSON CSW Individual | Social Worker | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1770684078 | KATHLEEN FISHER RN Individual | Registered Nurse (Psychiatric/Mental Health) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1407957731 | GREGORY J ROBINSON LCSW Individual | Social Worker (Clinical) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1497856835 | JOYCE WILKINSON SSW Individual | Social Worker | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1083715346 | BRET JOHN LINTON BS, MSW, LCSW Individual | Social Worker (Clinical) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1154422475 | LYMAN L HAMBLIN LCSW Individual | Social Worker (Clinical) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1295836518 | COLLEEN HULL HARPER LCSW Individual | Social Worker (Clinical) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1336240928 | SONJA NICKLE SMITH LCSW Individual | Social Worker (Clinical) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1144321779 | SAMUEL L ASHTON MFTI Individual | Marriage & Family Therapist | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1710088372 | COLLEEN MERRITT WRIGHT LPN Individual | Licensed Practical Nurse | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1679674279 | THELMA LORRAINE POULSON RN Individual | Registered Nurse (Psychiatric/Mental Health) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1851482509 | LORETTA LAURINE HEREM SSW Individual | Social Worker | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
| 1912098658 | FRANCES F WILLIAMS RN Individual | Registered Nurse (Psychiatric/Mental Health) | 750 N FREEDOM BLVD PROVO, UT 84601 (801) 373-4760 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649895954, enumerated in the NPI registry as an "individual" on June 11, 2020
The provider is located at 750 N Freedom Blvd Provo, Ut 84601 and the phone number is (476) 080-1373
The provider's speciality is Social Worker with taxonomy code 104100000X
The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 11, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.