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

Simon Wilson

Individual provider Clinical Social Worker · NPI 1790399145

Simon Wilson is a Clinical Social Worker in Riverton, Utah. Qualified in 2022, 4 years ago. Practices with Four Corners Community Behavioral Health Inc, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2020
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Practice location Address checks out

1273 W 12600 S Ste 403
Riverton, UT 84065-7111
Phone: (801) 930-0411
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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

Record details

NPI number1790399145
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020
Mailing address267 E Belmont Ave, Salt Lake City, UT 84111-4619

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Four Corners Community Behavioral Health Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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