Curtis Shepherd, LCSW | |
5640 S 3500 W, Roy, UT 84067-9158 | |
(801) 773-2838 | |
(801) 773-3025 |
Full Name | Curtis Shepherd |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 5640 S 3500 W, Roy, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538879515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 279677-3501 (Utah) | Primary |
Entity Name | Central Utah Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
---|---|
Curtis Shepherd, LCSW 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Curtis Shepherd, LCSW 5640 S 3500 W, Roy, UT 84067-9158 Ph: (801) 773-2838 |
Nicole Klingler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1858 W 5150 S, Roy, UT 84067 Phone: 801-255-5131 | |
Susan Hodges, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2563 W 5950 S, Roy, UT 84067 Phone: 801-727-7900 Fax: 385-347-5331 | |
Jennifer Alexa Cortes Michel, MSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4695 S 1900 W Ste 6, Roy, UT 84067 Phone: 801-931-0488 | |
Ms. Denice Lorraine Pacheco, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5748 S 2200 W, Roy, UT 84067 Phone: 801-628-1762 Fax: 801-776-3892 | |
Ms. Amanda Elizabeth Klein, LCSW, BCBA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1858 W 5150 S, Roy, UT 84067 Phone: 801-255-5131 | |
Ms. Christina Tipton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5640 S 3500 W, Roy, UT 84067 Phone: 801-773-2838 Fax: 801-773-3025 |