Mrs Rebecca Connie Pedersen, LICSW,SUDP,LCSW is a
Social Worker - Clinical based in American Fork, Utah. Mrs Rebecca Connie Pedersen is licensed to practice in Utah (license number 365936-3501) and her current practice location is
802 E Bamberger Dr Ste A, American Fork, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 633-9887.
NPI number for Mrs Rebecca Connie Pedersen is 1386022978 and her current mailing address is 802 E Bamberger Dr Ste A, American Fork, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386022978.
Healthcare Provider's Profile
Full Name | Mrs Rebecca Connie Pedersen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 802 E Bamberger Dr Ste A, American Fork, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386022978
- Provider Enumeration Date: 05/14/2015
- Last Update Date: 10/02/2024
Medical Identifiers
Medical identifiers for Mrs Rebecca Connie Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386022978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60818488 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW61089331 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | 365936-3501 (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. Mrs Rebecca Connie Pedersen 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 |
Mrs Rebecca Connie Pedersen, LICSW,SUDP,LCSW 802 E Bamberger Dr Ste A, American Fork, UT 84003-2179 Ph: (801) 633-9887 | Mrs Rebecca Connie Pedersen, LICSW,SUDP,LCSW 802 E Bamberger Dr Ste A, American Fork, UT 84003-2179 Ph: (801) 633-9887 |
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