Russell Pearson, is a
Social Worker based in Salt Lake City, Utah. Russell Pearson is licensed to practice in Utah (license number ) and his current practice location is
4460 S Highland Dr, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at
(888) 949-4864.
NPI number for Russell Pearson is 1134847106 and his current mailing address is 4460 S Highland Dr, Salt Lake City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134847106.
Healthcare Provider's Profile
| Full Name | Russell Pearson |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 4460 S Highland Dr, Salt Lake City, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134847106
- Provider Enumeration Date: 08/16/2022
- Last Update Date: 09/21/2023
Medical Identifiers
Medical identifiers for Russell Pearson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134847106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (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. Russell Pearson 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 |
|---|
Russell Pearson,
4460 S Highland Dr,
Salt Lake City, UT 84124-3543
Ph: (888) 949-4864 | Russell Pearson,
4460 S Highland Dr,
Salt Lake City, UT 84124-3543
Ph: (888) 949-4864 |
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