Ileana Marie Anderson, LCSW | |
1743 Redstone Center Dr, Park City, UT 84098-7929 | |
(435) 658-9200 | |
Not Available |
Full Name | Ileana Marie Anderson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1743 Redstone Center Dr, Park City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528768652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12300414-3501 (Utah) | Primary |
Entity Name | University Of Utah Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
Mailing Address | Practice Location Address |
---|---|
Ileana Marie Anderson, LCSW 360 Moulton Ln, Heber City, UT 84032-3842 Ph: (240) 606-5599 | Ileana Marie Anderson, LCSW 1743 Redstone Center Dr, Park City, UT 84098-7929 Ph: (435) 658-9200 |
Mrs. Evangelina Ortega Neuman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1753 Sidewinder Dr, Suite S 200, Park City, UT 84060 Phone: 435-649-9079 | |
Nancy Pollard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Bitner Rd, Park City, UT 84098 Phone: 435-649-7600 | |
Ciara Pearle Larson, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1820 Sidewinder Dr Ste 100, Park City, UT 84060 Phone: 435-658-9199 | |
Wendy J Seeley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1753 Sidewinder Dr, Park City, UT 84060 Phone: 435-649-8347 Fax: 435-649-2157 | |
Mr. Jason Andrew Turner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1820 Sidewinder Dr Ste 100, Park City, UT 84060 Phone: 435-658-9199 | |
Ms. Claudia E. Vogl, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1753 Sidewinder Dr, Park City, UT 84060 Phone: 435-649-8347 Fax: 435-649-2157 | |
Lauren Ross, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7058 Stagecoach Dr, Park City, UT 84098 Phone: 801-232-6161 |