✓ Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical (1041C0700X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

HOLBROOK THERAPEUTIC SERVICES, LLC (NPI #1447592241)

Social Worker, Clinical • SPRING CITY, UT • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1447592241
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
1041C0700X (CMS 80)
Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
Box 32 Service Location & ZIP+4
12670 N 6500 E, SPRING CITY, UT, 84662
Official NPPES Practice Location
Practice Phone & Referral Fax
Fax: (435) 462-9839
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1447592241 (HOLBROOK THERAPEUTIC SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1447592241 (NPI-2 Organization / Facility)
Provider / Legal NameHOLBROOK THERAPEUTIC SERVICES, LLC
Plain-English SpecialtyLicensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
NUCC Code: 1041C0700X (Social Worker, Clinical)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address12670 N 6500 E, SPRING CITY, UT, 84662
Practice Telephone / FaxTel: (435) 676-3020 | Fax: (435) 462-9839
Administrative Mailing AddressPO BOX 575, SPRING CITY, UT, 84662-0575
Enumeration & Last SyncEnumerated: 2013-03-20 | CMS Record Updated: 2015-01-16
Authorized OfficialGARRY HOLBROOK (Owner/ LCSW)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12670 N 6500 E, SPRING CITY, UT, 84662

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Plain-English Taxonomy & CMS Crosswalk (1041C0700X)

What Does Taxonomy Code 1041C0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 80 (Licensed Clinical Social Worker)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HOLBROOK THERAPEUTIC SERVICES, LLC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
1041C0700X — Social Worker, Clinical
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
State: UT | License: 379899-3501 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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