Terry R Routt, LCSW | |
570 E 1400 S, Orem, UT 84097-7714 | |
(801) 426-6661 | |
(801) 426-6660 |
Full Name | Terry R Routt |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 570 E 1400 S, Orem, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023212644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 134709-3501 (Utah) | Primary |
Entity Name | Chrysalis Utah, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891898045 PECOS PAC ID: 4284735846 Enrollment ID: O20070726000156 |
Mailing Address | Practice Location Address |
---|---|
Terry R Routt, LCSW 756 W 1150 S, Provo, UT 84601-5542 Ph: (801) 371-0968 | Terry R Routt, LCSW 570 E 1400 S, Orem, UT 84097-7714 Ph: (801) 426-6661 |
Katie Fishman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 S Geneva Rd, Orem, UT 84059 Phone: 801-877-5300 | |
Alicia Hills, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 E 800 S Ste 105, Orem, UT 84058 Phone: 385-283-1032 | |
Morgan Oliphant, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 N 1200 W, Orem, UT 84057 Phone: 801-229-1181 | |
Rebecca Jane Mcnairy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 W Center St, Orem, UT 84057 Phone: 801-903-5903 | |
Erin Elizabeth Vasquez, LCSW, RPT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 N 1200 W, Orem, UT 84057 Phone: 801-229-1181 Fax: 801-229-2787 | |
Mr. Mark James Capell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 313 E 1200 S, Suite 104, Orem, UT 84058 Phone: 801-377-1595 Fax: 801-377-1598 |