Kristina Muck, LCSW | |
6150 S Redwood Rd, Taylorsville, UT 84123-5308 | |
(801) 342-2283 | |
Not Available |
Full Name | Kristina Muck |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6150 S Redwood Rd, Taylorsville, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225565930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10658720-3502 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 10658720-3501 (Utah) | Primary |
Entity Name | Odyssey House Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033143706 PECOS PAC ID: 2365458833 Enrollment ID: O20060222000116 |
Mailing Address | Practice Location Address |
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Kristina Muck, LCSW 8014 W Pleasant Green Dr, Magna, UT 84044-3423 Ph: (801) 250-2158 | Kristina Muck, LCSW 6150 S Redwood Rd, Taylorsville, UT 84123-5308 Ph: (801) 342-2283 |
Sigrid Ruth Nolte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5667 S Redwood Rd Unit 6, Taylorsville, UT 84123 Phone: 385-425-3196 | |
April Mccloskey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5667 S Redwood Rd Ste 6, Taylorsville, UT 84123 Phone: 385-425-3196 | |
Bryan Teuscher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5663 S Redwood Rd, Suite 2, Office 10, Taylorsville, UT 84123 Phone: 208-604-4355 | |
Deborah A Price, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-255-5131 | |
Nancy N Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-265-3000 | |
Alexander Maxwell Dahmen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1760 West 4805 South, Taylorsville, UT 84129 Phone: 801-955-9110 | |
Claire R Stoecker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-265-3000 |