Mr Evan T Kenison, LCSW | |
100 S 1000 W, Tooele, UT 84074-4010 | |
(435) 843-3520 | |
(435) 843-3555 |
Full Name | Mr Evan T Kenison |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 100 S 1000 W, Tooele, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912977505 | NPI | - | NPPES |
832612 | Other | UT | DESERET MUTUAL |
942938348 | Other | UT | CHAMPUS |
942938348EVK | Other | UT | EDUCATORS MUTUAL |
107029553101 | Other | UT | INTRMTN. HEALTH CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3099283501 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Evan T Kenison, LCSW Po Box 751, Tooele, UT 84074-0751 Ph: (435) 850-2547 | Mr Evan T Kenison, 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 |