Cody J Sorensen, | |
445 N Main St, Kanab, UT 84741-3250 | |
(435) 676-8176 | |
Not Available |
Full Name | Cody J Sorensen |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 445 N Main St, Kanab, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023321932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8685979-3501 (Utah) | Primary |
Entity Name | Southwest Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053586 PECOS PAC ID: 0941246086 Enrollment ID: O20050629000639 |
Mailing Address | Practice Location Address |
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Cody J Sorensen, 474 W 200 S, Suite 300, St. George, UT 84770 Ph: (435) 634-5600 | Cody J Sorensen, 445 N Main St, Kanab, UT 84741-3250 Ph: (435) 676-8176 |
David Lawrence Saldana, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 S 100 E # Appt11, Kanab, UT 84741 Phone: 435-644-3654 | |
Christopher Tarver, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 157 W Center St Unit A, Kanab, UT 84741 Phone: 225-329-9500 | |
Erin Grover, LCSW, TRS, CTRS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6746 E Hwy 89, Kanab, UT 84741 Phone: 435-817-6116 | |
Jessica Jo Stenquist, TRS, CTRS, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6746 East Us89, Kanab, UT 84741 Phone: 435-644-3654 | |
Elaine Brown Knudsen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 N Main St, Kanab, UT 84741 Phone: 435-644-4520 Fax: 435-644-4524 | |
Linda M Spearing, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 S 100 E, Suite 11, Kanab, UT 84741 Phone: 435-644-4520 Fax: 435-644-4524 |