Mark Dale, LCSW | |
576 W 900 S, Woods Cross, UT 84010-8194 | |
(801) 397-4166 | |
Not Available |
Full Name | Mark Dale |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 576 W 900 S, Woods Cross, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689280281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 286590-3501 (Utah) | Primary |
Entity Name | Senior Health Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073356945 PECOS PAC ID: 2163962648 Enrollment ID: O20240911001226 |
Mailing Address | Practice Location Address |
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Mark Dale, LCSW 576 W 900 S, Woods Cross, UT 84010-8194 Ph: (801) 397-4166 | Mark Dale, LCSW 576 W 900 S, Woods Cross, UT 84010-8194 Ph: (801) 397-4166 |
Ariana Tweedie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 592 W 1350 S, Woods Cross, UT 84010 Phone: 801-299-5300 | |
Ms. Sandra Jean Marx, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1492 S 800 W, Suite J, Woods Cross, UT 84087 Phone: 801-294-5224 Fax: 801-294-5269 | |
Rebecca W Kohler, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1576 S 500 W Ste 202, Woods Cross, UT 84010 Phone: 801-406-9002 | |
Rebecca Webb Parkinson, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1576 S 500 W, Woods Cross, UT 84010 Phone: 801-406-9002 Fax: 801-855-5660 | |
Mrs. Jessica Lacey Fisher Champlin, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1290 S 500 W Ste 300, Woods Cross, UT 84010 Phone: 801-215-9575 Fax: 833-904-1668 | |
Mrs. Mikelle Mitzi Wrobel, SSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 763 W 700 S, Woods Cross, UT 84087 Phone: 801-292-2318 Fax: 801-295-2556 |