TIARA LITTLEDYKE (LCSW) – Clinical Social Worker, NPI 1588904049
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
965 CLINICAL SOCIAL WORKER in UT
Provider Addresses for TIARA LITTLEDYKE (LCSW)
750 N Freedom Blvd
Provo, UT 846011677
Phone: (801) 373-4760
Type: Location
1140 W 500 S Ste 9
Vernal, UT 84078
Phone: (435) 789-6300
Type: Location
1140 W 500 S STE 9
VERNAL, UT 840782912
Phone: (435) 789-6300
Type: Mailing
815 N COLLEGE RD
TWIN FALLS, ID 833013484
Phone: (208) 814-9100
Fax: (208) 814-9903
Type: Location
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
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: 2024-10-23
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 |
|---|---|---|---|---|
| I20210308002858 | I | Clinical Social Worker | UT | TBD |
| I20241023000896 | I | Clinical Social Worker | ID | 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 84601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Clinical Psychologist | ND | |
| A N E S T H E S I O L O G Y | ID | |
| - | UT | |
| Diagnostic Radiology | OR | |
| Physician Assistant | ID | |
| Family Practice | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Nurse Practitioner | ID |
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