Mr Douglas Paul Thomas, LCSW | |
100 S 1000 W, Tooele, UT 84074-4010 | |
(435) 843-3520 | |
(435) 843-3555 |
Full Name | Mr Douglas Paul Thomas |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 100 S 1000 W, Tooele, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356327084 | NPI | - | NPPES |
751648 | Other | DESERET MUTUAL | |
94293848015 | Other | CHAMPUS | |
107012410101 | Other | INTERMOUNTAIN HEALTH CARE | |
29297535000001 | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 292975-3501 (Utah) | Primary |
Entity Name | Sundance Behavioral Resources Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326157355 PECOS PAC ID: 5496979239 Enrollment ID: O20140617001287 |
Mailing Address | Practice Location Address |
---|---|
Mr Douglas Paul Thomas, LCSW 100 S 1000 W, Tooele, UT 84074-4010 Ph: () - | Mr Douglas Paul Thomas, LCSW 100 S 1000 W, Tooele, UT 84074-4010 Ph: (435) 843-3520 |
Keri B Stone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 N 50 W, Tooele, UT 84074 Phone: 801-990-4300 Fax: 801-967-2127 | |
Reina Marie Hansen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 N Main St Ste 203, Tooele, UT 84074 Phone: 435-882-4354 | |
Mr. Chris Corey Hakes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 50 N Main St, Tooele, UT 84074 Phone: 801-414-3252 Fax: 801-967-2127 | |
Pamela Joan Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 435-843-3520 | |
Brijet Beazer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 801-595-4207 | |
Hayley Baldwin Baldwin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E, Tooele, UT 84074 Phone: 435-850-2547 | |
Ms. Sarah Louise Debois, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 435-843-3520 Fax: 435-843-3555 |