Craig Howard Wilde, | |
934 S Main St, Layton, UT 84041-7135 | |
(801) 773-7060 | |
Not Available |
Full Name | Craig Howard Wilde |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 7 Years |
Location | 934 S Main St, Layton, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972984383 | NPI | - | NPPES |
260022408 | Other | UT | RAILROAD MEDICARE |
876000308007 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10419730-3502 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Davis Behavioral Health Inc | 7416861919 | 59 |
Entity Name | Davis Behavioral Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770641672 PECOS PAC ID: 7416861919 Enrollment ID: O20031118000909 |
Mailing Address | Practice Location Address |
---|---|
Craig Howard Wilde, 934 S Main St, Layton, UT 84041-7135 Ph: (801) 773-7060 | Craig Howard Wilde, 934 S Main St, Layton, UT 84041-7135 Ph: (801) 773-7060 |
Kelley Diane Irmen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Michele Tanner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Jennifer Lynn Forbes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
John David Larsen, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Curtis M. Tesch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Alison Coburn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1660 W Antelope Dr Ste 320, Layton, UT 84041 Phone: 801-773-4840 | |
Brady D Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 |