Jeanette P Vasquez, LCSW | |
2180 E 4500 S, Unit #105, Holladay, UT 84117-4434 | |
(801) 680-4728 | |
(801) 748-2554 |
Full Name | Jeanette P Vasquez |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 2180 E 4500 S, Holladay, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477735504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3444653501 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascendant Behavioral Health Llc | 1850673187 | 20 |
Entity Name | Ascendant Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689128605 PECOS PAC ID: 1850673187 Enrollment ID: O20170123001085 |
Mailing Address | Practice Location Address |
---|---|
Jeanette P Vasquez, LCSW 5451 S 1410 E, Salt Lake City, UT 84117-7359 Ph: (801) 680-4728 | Jeanette P Vasquez, LCSW 2180 E 4500 S, Unit #105, Holladay, UT 84117-4434 Ph: (801) 680-4728 |
Amy Rose White, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 South 2180 East, Suite 165, Holladay, UT 84117 Phone: 801-461-9060 | |
Camile Nielson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4790 S Holladay Blvd, Holladay, UT 84117 Phone: 801-509-9511 | |
Heidi Kinnersley Chee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2040 Murray Holladay Rd, Holladay, UT 84117 Phone: 801-256-1590 Fax: 801-272-5094 | |
Ms. Suzanne Marie Fields, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2040 Murray Holladay Rd, Suite 222, Holladay, UT 84117 Phone: 801-808-0244 Fax: 801-278-0489 | |
Jennifer Stewart Clark, MSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 E Murray Holladay Rd Ste 101, Holladay, UT 84117 Phone: 801-980-2566 | |
Jacob Kenison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 E Murray Holladay Rd Ste 101, Holladay, UT 84117 Phone: 801-980-2566 | |
Jane A Weiss, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4505 Wasatch Blvd, Suite 380, Holladay, UT 84124 Phone: 801-273-7514 Fax: 801-273-7514 |