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

Mr. Timothy Shea Enniss, LCSW

Individual provider Clinical Social Worker · NPI 1750487864

Mr. Timothy Shea Enniss, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Qualified in 2004, 22 years ago. Practices with Comprehensive Psychological Services Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
22
Licensed in
UT
In the registry since
2006
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

1208 E 3300 S
Salt Lake City, UT 84106-2522
Phone: (801) 483-1600
Fax: (801) 483-1610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5664530-3501 (UT)

Record details

NPI number1750487864
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESApril 12, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Comprehensive Psychological Services Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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