Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Jared Ivie, LCSW

Individual provider Clinical Social Worker · NPI 1720365844

Douglas Jared Ivie, LCSW is a Clinical Social Worker in Millcreek, Utah. Qualified in 2009, 17 years ago. Practices as a sole proprietor and works from 4 locations. Licensed in Utah.

Years since qualifying
17
Licensed in
UT
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

801 E Redmaple Rd # 1
Millcreek, UT 84106-1541
Phone: (503) 975-6095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3051 W Maple Loop Dr Ste 300, Lehi, UT 84048-6552 — (801) 405-7450
  • 7070 S Union Park Ave Ste 150, Midvale, UT 84047-6043 — (801) 405-7450
  • 849 W Levoy Dr Ste 108, Taylorsville, UT 84123-2599 — (801) 405-7450

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12435975-3501 (UT)

Record details

NPI number1720365844
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 3, 2011
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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