| Real Caring Integrative Therapy | |
|
455 E 200 S Ste 110 Salt Lake City UT 84111-2156 | |
| (801) 712-6140 | |
| Not Available |
| Full Name | Real Caring Integrative Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 455 E 200 S Ste 110, Salt Lake City, Utah |
| Authorized Official Name and Position | Shannon Mcquade (CEO) |
| Authorized Official Contact | 8017126140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Caring Integrative Therapy 455 E 200 S Ste 110 Salt Lake City UT 84111-2156 Ph: () - | Real Caring Integrative Therapy 455 E 200 S Ste 110 Salt Lake City UT 84111-2156 Ph: (801) 712-6140 |
| NPI Number | 1700220381 |
|---|---|
| Provider Enumeration Date | 04/25/2013 |
| Last Update Date | 04/25/2013 |
| Medicare PECOS PAC ID | 8325284888 |
|---|---|
| Medicare Enrollment ID | O20130429000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700220381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 370919-3501 (Utah) | Primary |
| Provider Name | Shannon M Mcquade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053587824 PECOS PAC ID: 6709060429 Enrollment ID: I20110405000179 |
| Provider Name | Nancy E Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194938316 PECOS PAC ID: 6204008378 Enrollment ID: I20111013000606 |
| Provider Name | Frank D Elder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821390790 PECOS PAC ID: 7012145543 Enrollment ID: I20140108001117 |
| Provider Name | Stephanie Voigt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861837494 PECOS PAC ID: 0042435042 Enrollment ID: I20140708000523 |
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