Christopher Jon Gravett, LCSW | |
53 S 700 E, Price, UT 84501-3128 | |
(435) 610-1896 | |
Not Available |
Full Name | Christopher Jon Gravett |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 53 S 700 E, Price, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295066447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7014686-3501 (Utah) | Primary |
Entity Name | Chrysalis Utah, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891898045 PECOS PAC ID: 4284735846 Enrollment ID: O20070726000156 |
Mailing Address | Practice Location Address |
---|---|
Christopher Jon Gravett, LCSW Po Box 242, Price, UT 84501-0242 Ph: (435) 610-1896 | Christopher Jon Gravett, LCSW 53 S 700 E, Price, UT 84501-3128 Ph: (435) 610-1896 |
Ann L Prazza, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 575 E 100 So, Price, UT 84501 Phone: 435-637-2358 Fax: 435-637-9141 | |
Wayne Lee Tucker, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 W Main St, Price, UT 84501 Phone: 435-637-0171 | |
Anne Stacy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 575 East 100 South, Price, UT 84501 Phone: 435-637-2358 Fax: 435-637-9141 | |
Rachel Ellen Allred, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 N 100 W Ste 5, Price, UT 84501 Phone: 435-749-1530 | |
Tamara Dawn Pantelakis, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 S Carbon Ave Rm 129, Price, UT 84501 Phone: 435-650-5803 | |
Bert A Bruno, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 S Carbon Ave Ste 134, Price, UT 84501 Phone: 435-650-6562 | |
Arthur Gregson Daniels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 W Price River Dr, Price, UT 84501 Phone: 435-637-2991 Fax: 435-637-1775 |