Ezekiel W Burnett, LCSW | |
285 W 800 S, Roosevelt, UT 84066-3707 | |
(435) 725-6300 | |
(435) 725-6325 |
Full Name | Ezekiel W Burnett |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 22 Years |
Location | 285 W 800 S, Roosevelt, 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 |
---|---|---|---|
1952487068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5239057-3501 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Utah Counseling Center | 6305743618 | 7 |
Entity Name | Central Utah Counseling Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639185424 PECOS PAC ID: 6305743618 Enrollment ID: O20031215000998 |
Mailing Address | Practice Location Address |
---|---|
Ezekiel W Burnett, LCSW 349 E 700 S # 11-15, Roosevelt, UT 84066-3432 Ph: (435) 725-6300 | Ezekiel W Burnett, LCSW 285 W 800 S, Roosevelt, UT 84066-3707 Ph: (435) 725-6300 |
Theresa J Ingram, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Jessica Jean Tibbitts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 244 W Highway 40, Roosevelt, UT 84066 Phone: 435-401-3001 Fax: 801-375-4241 | |
Karin G Douthit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Suzanne Maddocks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Pamala Kay Draper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Kayla Elaine Taylor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Marianne Clayburn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 |