DAPHNE LYNN MCKINNON (MSW, LCSW) – Mental Health Counselor, NPI 1548376742
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
965 CLINICAL SOCIAL WORKER in UT
Provider Addresses for DAPHNE LYNN MCKINNON (MSW, LCSW)
725 LEGEND DR
LOGAN, UT 843217721
Phone: (916) 512-5447
Type: Mailing
1034 RSI DR UNIT 120
LOGAN, UT 843212203
Phone: (916) 435-7084
Type: Location
725 LEGEND DR STE A
LOGAN, UT 843217721
Phone: (916) 512-5447
Type: Location
8920, Emerald Park Drive, Elk Grove, Sacramento County, California, 95624, United States
SUITE A
ELK GROVE, CA 956242380
Phone: (916) 512-5447
Fax: (877) 714-4478
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140612001552 | I | Clinical Social Worker | CA | TBD |
| I20200824003053 | I | Clinical Social Worker | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84321)
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