MR. TIMOTHY SHEA ENNISS LCSW
NPI 1750487864
Social Worker - Clinical in Salt Lake City, UT
NPI Status: Active since September 15, 2006
Contact Information
1208 E 3300 S
SALT LAKE CITY, UT
ZIP 84106
Phone: (801) 483-1600
Fax: (801) 483-1610
- Individual
- Male
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About TIMOTHY ENNISS
This page provides the complete NPI Profile along with additional information for Timothy Enniss, a provider established in Salt Lake City, Utah with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1750487864 assigned on September 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 5664530-3501 (UT). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1750487864
- Provider Name
- MR. TIMOTHY SHEA ENNISS LCSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1208 E 3300 S SALT LAKE CITY, UT 84106
- Location Phone
- (801) 483-1600
- Location Fax
- (801) 483-1610
- Mailing Address
- 2922 W 12875 S RIVERTON, UT 84065
- Mailing Phone
- (801) 979-1305
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-15-2006
- Last Update Date
- 04-12-2017
- Code Navigator
A clinical social worker like Timothy Enniss is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
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 Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 5664530-3501
- License State
- UT
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 1500 - EPO
- Regence Standard Silver 5000 - EPO
- SaveWell Standard Bronze 7500 - EPO
- SaveWell Standard Gold 1500 - EPO
- SaveWell Standard Silver 5000 - EPO
- Silver 5000 - EPO
- Silver 6200 - EPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
- U Health Plus Silver - EPO
- U Health Plus Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Timothy Enniss is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 84106 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.03
- Average New Patient Copayment $0
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.01
- Minimum Established Patient Price $17.23
- Maximum Established Patient Price $135.2
- Average Established Patient Copayment $17
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.8
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MR. TIMOTHY SHEA ENNISS LCSW
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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 | 7 | 5 | 0 | 4 | 8 | 7 | 8 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 8 | 14 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 8 + 1 + 4 + 8 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1750487864 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 |
|---|---|---|---|
| 1700836996 | DR. JEFF CROFT KOCHERHANS PH.D. Individual | Psychologist (Clinical) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1194762997 | MS. SUSAN E HOLLENBECK LCSW Individual | Social Worker (Clinical) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1215978036 | MRS. MARIE SEOANE LCSW Individual | Social Worker (Clinical) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1629006358 | JAMES A MILLER M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1942224829 | DR. STEVEN A SZYKULA PH.D. Individual | Psychologist (Clinical) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1992854079 | HOWARD INGLE LPC Individual | Counselor (Professional) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1720268204 | MICHAEL JOHN LEMPERLE PA-C Individual | Physician Assistant | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1811137318 | DR. RYAN FRED HOUSTON PH.D. Individual | Psychologist (Clinical) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1396970786 | MOLLY KATHLEEN CHYNOWETH PRENTICE LCSW Individual | Social Worker (Clinical) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1902035892 | LINDA RYVER HACKETT L.P.C. Individual | Counselor (Professional) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1194824961 | DR. MARK DAVID NEUMAN MD Individual | Psychiatry & Neurology (Psychiatry) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1407878333 | COMPREHENSIVE PSYCHOLOGICAL SERVICES INC Organization | Psychologist | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1376032672 | SYMBIOSIS COUNSELING Organization | Clinic/Center | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 468-1600 |
| 1073090379 | DR. JULIA KRONHOLZ PHD Individual | Psychologist (Clinical) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1558512996 | JULIE HIMSTEDT PA Individual | Physician Assistant (Medical) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1841857315 | DR. STEVEN NIEL NICKOLAISEN PHD, MA Individual | Psychologist (Counseling) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1942822770 | AMY OLSEN DAVIS MA Individual | Counselor (Mental Health) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1639432750 | ALINE DEVAUD LCSW Individual | Social Worker | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 448-3160 |
| 1477805372 | LEEANNE MERIN HESS LCSW Individual | Social Worker (Clinical) | 1208 E 3300 S SALT LAKE CITY, UT 84106 (801) 483-1600 |
| 1871291989 | MRS. KASSIDY RAE LOPEZ LCSW Individual | Social Worker (Clinical) | 1208 E 3300 S MILLCREEK, UT 84106 (801) 483-1600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750487864, enumerated in the NPI registry as an "individual" on September 15, 2006
The provider is located at 1208 E 3300 S Salt Lake City, Ut 84106 and the phone number is (801) 483-1600
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $68.01 and an average copayment of 17. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 15, 2006. 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.