Amanda Ravel, CSW | |
5284 S Commerce Dr Ste C134, Murray, UT 84107-5360 | |
(801) 266-4643 | |
(801) 266-4775 |
Full Name | Amanda Ravel |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5284 S Commerce Dr Ste C134, Murray, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538685821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 11275792-3502 (Utah) | Primary |
Entity Name | Mymichigan Medical Center Gladwin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881869774 PECOS PAC ID: 0143262915 Enrollment ID: O20081024000094 |
Entity Name | International Therapy Solutions Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093254120 PECOS PAC ID: 9739463084 Enrollment ID: O20170303002038 |
Mailing Address | Practice Location Address |
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Amanda Ravel, CSW 5284 S Commerce Dr Ste C134, Murray, UT 84107-5360 Ph: (801) 266-4643 | Amanda Ravel, CSW 5284 S Commerce Dr Ste C134, Murray, UT 84107-5360 Ph: (801) 266-4643 |
Mr. James Matthew Upton, LCSW, BCBA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4444 S 700 E Ste 203, Murray, UT 84107 Phone: 801-268-4887 | |
Harrison Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5284 S Commerce Dr Ste C134, Murray, UT 84107 Phone: 801-266-4643 Fax: 801-266-4775 | |
Shane D Adamson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 E 4500 S, F-200, Murray, UT 84107 Phone: 801-747-2300 | |
Nancy M Hogarty Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5250 So Commerce Dr, Ste 250, Murray, UT 84107 Phone: 801-261-3500 Fax: 801-261-2111 | |
Sevon Taroian, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 154 E Myrtle Ave Ste 204, Murray, UT 84107 Phone: 801-369-8989 Fax: 801-704-9741 | |
Malisa May Lemon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5284 S Commerce Dr Ste C134, Murray, UT 84107 Phone: 801-266-4643 | |
Sloane Rampton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4848 S Commerce Dr, Murray, UT 84107 Phone: 385-232-3484 |