| Heather Anna Whitehead-sampinos, LCSW | |
|
2500 S State St, South Salt Lake, UT 84115-3164 | |
| (385) 646-0569 | |
| Not Available |
| Full Name | Heather Anna Whitehead-sampinos |
|---|---|
| Gender | Female |
| Speciality | Social Worker - School |
| Location | 2500 S State St, South Salt Lake, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356301154 | NPI | - | NPPES |
| 12865135000001 | Other | UT | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 128651-3501 (Utah) | Secondary |
| 1041S0200X | Social Worker - School | 128651-3501 (Utah) | Primary |
| Entity Name | Trauma Awareness & Treatment Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770542219 PECOS PAC ID: 8325078306 Enrollment ID: O20050818001076 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Anna Whitehead-sampinos, LCSW 1839 E 2100 S, Salt Lake City, UT 84106-4166 Ph: (801) 598-4935 | Heather Anna Whitehead-sampinos, LCSW 2500 S State St, South Salt Lake, UT 84115-3164 Ph: (385) 646-0569 |
Dr. Matthew Brent Checketts, PH.D., L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 240 Morris Ave, South Salt Lake, UT 84115 Phone: 801-874-4899 | |
Samantha Shimada, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 W 2700 S, South Salt Lake, UT 84115 Phone: 801-678-3317 | |
Anafernanda Walker, CSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3269 S Main St Ste 100, South Salt Lake, UT 84115 Phone: 801-935-4447 | |
Andrea Abbott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-5000 | |
Catherine Franz Schoeck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-7680 Fax: 385-646-4120 | |
Ms. Gina Ann Millard, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-5000 | |
Kristin Adams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 177 Price Ave, South Salt Lake, UT 84115 Phone: 385-468-4500 |