Daniel Thomas Haycock, is a
Social Worker - Clinical based in Salt Lake City, Utah. Daniel Thomas Haycock is licensed to practice in Utah (license number 11251842-3502) and his current practice location is
715 E 3900 S Ste 109, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 878-0190.
NPI number for Daniel Thomas Haycock is 1376022103 and his current mailing address is 715 E 3900 S Ste 109, Salt Lake City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376022103.
Healthcare Provider's Profile
Full Name | Daniel Thomas Haycock |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 715 E 3900 S Ste 109, Salt Lake City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376022103
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 07/03/2019
Medical Identifiers
Medical identifiers for Daniel Thomas Haycock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376022103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 11251842-3502 (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. Daniel Thomas Haycock 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 |
Daniel Thomas Haycock, 715 E 3900 S Ste 109, Salt Lake City, UT 84107-2568 Ph: (801) 878-0190 | Daniel Thomas Haycock, 715 E 3900 S Ste 109, Salt Lake City, UT 84107 Ph: (801) 878-0190 |
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