Healthcare Provider Details

I. General information

NPI: 1669926044
Provider Name (Legal Business Name): LINDSEY JEPPSON DEAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 N 1200 W
OREM UT
84057-2449
US

IV. Provider business mailing address

1705 S SAWTOOTH BLVD
SANTAQUIN UT
84655-4618
US

V. Phone/Fax

Practice location:
  • Phone: 801-655-5450
  • Fax:
Mailing address:
  • Phone: 801-918-3055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11238890-3501
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5671032
License Number StateID

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: