MOLLY THEURER (LCSW) – Clinical Social Worker, NPI 1053584375
Clinical Social Worker
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MOLLY THEURER (LCSW)
934 S Main St
Layton, UT 840414250
Phone: (801) 546-1168
Fax: (801) 544-0770
Type: Location
4255 NW COLUMBIA AVE
PORTLAND, OR 972292951
Phone: (801) 706-5559
Type: Mailing
PO BOX 460
BOUNTIFUL, UT 840110460
Phone: (801) 546-1168
Fax: (801) 544-0770
Type: Mailing
934, South Main Street, Country Meadows, Layton, Davis County, Utah, 84041, United States
LAYTON, UT 840414250
Phone: (801) 546-1168
Fax: (801) 544-0770
Type: Location
3980 S 700 E STE 22
SALT LAKE CITY, UT 841072589
Phone: (385) 743-2728
Type: Location
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: 2025-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20250206001988 | 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 84041)
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