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Blaine Keaton Daimaru, LCSW

NPI 1124751441ActiveIndividual· Social Worker, Clinical· Sandy, UT

Opted out of Medicare from May 2025 to May 2027. Social Worker, Clinical (LCSW) in Sandy, Utah, licensed in UT, AZ and ID, with an NPI issued in July 2022.

Overview

NPI1124751441
StatusActive
Entity typeIndividual
CredentialLCSW
Sole proprietorNo
NPI issuedJul 5, 2022
Last updated in NPPESFeb 9, 2026
Certified by providerFeb 9, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X11302959-3501UT
Social Worker, Clinical1041C0700XLCSW-23132AZ
Social Worker, Clinical1041C0700X5471460ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out May 22, 2025 – May 22, 2027
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Other clinical social workers in Sandy

All 186 clinical social workers in Sandy · All clinical social workers in Utah