Ms Kendall Kristanne Paxman-black, MSW, CSW is a
Social Worker - Clinical based in Salt Lake City, Utah. Ms Kendall Kristanne Paxman-black is licensed to practice in Utah (license number 10697151-3502) and her current practice location is
352 S Denver St Ste 350, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 521-4227.
NPI number for Ms Kendall Kristanne Paxman-black is 1407697816 and her current mailing address is Po Box 3872, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407697816.
Healthcare Provider's Profile
| Full Name | Ms Kendall Kristanne Paxman-black |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 352 S Denver St Ste 350, Salt Lake City, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407697816
- Provider Enumeration Date: 06/03/2024
- Last Update Date: 06/03/2024
Medical Identifiers
Medical identifiers for Ms Kendall Kristanne Paxman-black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407697816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10697151-3502 (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 10697151-3502 (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10697151-3502 (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. Ms Kendall Kristanne Paxman-black 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 |
|---|
Ms Kendall Kristanne Paxman-black, MSW, CSW
Po Box 3872,
Salt Lake City, UT 84110-3872
Ph: (801) 521-4227 | Ms Kendall Kristanne Paxman-black, MSW, CSW
352 S Denver St Ste 350,
Salt Lake City, UT 84111-3059
Ph: (801) 521-4227 |
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