Mr Alan Rushby Chidester, LCSW | |
3135 N Fairfield Rd Ste A, Layton, UT 84041-8832 | |
(801) 771-9099 | |
Not Available |
Full Name | Mr Alan Rushby Chidester |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3135 N Fairfield Rd Ste A, Layton, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386938751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5935746-3501 (Utah) | Primary |
Entity Name | Valley Mental Health Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275599797 PECOS PAC ID: 0042121196 Enrollment ID: O20031111000937 |
Mailing Address | Practice Location Address |
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Mr Alan Rushby Chidester, LCSW 1435 Vineyard Cir, Bountiful, UT 84010-8800 Ph: (801) 455-4089 | Mr Alan Rushby Chidester, LCSW 3135 N Fairfield Rd Ste A, Layton, UT 84041-8832 Ph: (801) 771-9099 |
Kelley Diane Irmen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Michele Tanner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Jennifer Lynn Forbes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
John David Larsen, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Curtis M. Tesch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Alison Coburn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1660 W Antelope Dr Ste 320, Layton, UT 84041 Phone: 801-773-4840 | |
Brady D Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 |