Jonathan Michael Stiles, LICSW, LCSW in South Salt Lake, UT

Jonathan Michael Stiles, LICSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Salt Lake, Utah. His current practice location is 3780 S West Temple Ste 200, South Salt Lake, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 895-2525.

Jonathan Michael Stiles is licensed to practice in Minnesota (license number 30701) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992283618.

Contact Information

	Jonathan Michael Stiles, LICSW, LCSW
	3780 S West Temple Ste 200, South Salt Lake, UT 84115-4515
	(801) 895-2525
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Michael Stiles
Gender	Male
Speciality	Social Worker - Clinical
Location	3780 S West Temple Ste 200, South Salt Lake, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992283618
Provider Enumeration Date: 08/03/2018
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 0345761672
Enrollment ID: I20250304000398

Medical Identifiers

Medical identifiers for Jonathan Michael Stiles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992283618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	14194009-3501 (Utah)	Secondary
1041C0700X	Social Worker - Clinical	30701 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan Michael Stiles allows following entities to bill medicare on his behalf.

Entity Name	Care Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479

Entity Name	Optum Behavioral Care Of Colorado, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124898556 PECOS PAC ID: 0941648463 Enrollment ID: O20240725003342

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Michael Stiles is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jonathan Michael Stiles, LICSW, LCSW 3780 S West Temple Ste 200, South Salt Lake, UT 84115-4515 Ph: (801) 895-2525	Jonathan Michael Stiles, LICSW, LCSW 3780 S West Temple Ste 200, South Salt Lake, UT 84115-4515 Ph: (801) 895-2525

Reviews and Comments

Social Worker in South Salt Lake, UT

Dr. Matthew Brent Checketts, PH.D., L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 240 Morris Ave, South Salt Lake, UT 84115 Phone: 801-874-4899
Samantha Shimada, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 W 2700 S, South Salt Lake, UT 84115 Phone: 801-678-3317
Ashley Juarez, MSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3269 S Main St Ste 100, South Salt Lake, UT 84115 Phone: 801-935-4447
Anafernanda Walker, CSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3269 S Main St Ste 100, South Salt Lake, UT 84115 Phone: 801-935-4447
Andrea Abbott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-5000
Catherine Franz Schoeck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-7680 Fax: 385-646-4120
Ms. Gina Ann Millard, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-5000

Jonathan Michael Stiles, LICSW, LCSW - Medicare Clinical Social Worker in South Salt Lake, UT