Mr Michael D Jensen, LCSW BCD is a
Social Worker - Clinical based in Manti, Utah. Mr Michael D Jensen is licensed to practice in Utah (license number 1140763501) and his current practice location is
50 South Main, # 25, Manti, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 528-7048.
NPI number for Mr Michael D Jensen is 1124230115 and his current mailing address is Po Box 936, Gunnison, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124230115.
Healthcare Provider's Profile
| Full Name | Mr Michael D Jensen |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 50 South Main, Manti, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124230115
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Michael D Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124230115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 1140763501 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael D Jensen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Michael D Jensen, LCSW BCD
Po Box 936,
Gunnison, UT 84634-0936
Ph: (435) 528-7048 | Mr Michael D Jensen, LCSW BCD
50 South Main, # 25,
Manti, UT 84642
Ph: (435) 528-7048 |
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