JESSICA JEAN TIBBITTS (NPI# 1013253467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013253467 |
| Entity Type | Individual |
| Full Name | JESSICA JEAN TIBBITTS |
| Practice Address |
244 W Highway 40 Roosevelt UT 84066-3760 |
| Mailing Address |
Po Box 304 Roosevelt UT 84066-0304 |
| Practice Telephone | 4354013001 |
| Practice Fax Number | 8013754241 |
| Mailing Telephone | 4354013001 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
244 W HIGHWAY 40 |
| City | ROOSEVELT |
| State | UT |
| Zip Code | 84066-3760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075315 | Annemarie Rousseau | Registered Nurse | 250 West 300 North, Roosevelt, UT 84066 | 2017-07-12 |
| 1780036772 | Drew Gilley | Dentist | 375 E Lagoon St, Roosevelt, Ut 84066, Roosevelt, UT 84066 | 2016-07-01 |
| 1952758039 | Amanda Adams | Massage Therapist | 1151 East Hwy 40, Ballard, UT 84066 | 2016-05-19 |
| 1447624325 | Gregory George Page | Dentist | 209 West 200 North 71-2, Roosevelt, UT 84066 | 2015-11-16 |
| 1659785772 | Becky Ann Birch | Nurse Practitioner | 200 West 350 North, Ste 103, Roosevelt, UT 84066 | 2014-06-17 |
| 1760724280 | Novo Ranch LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3549 W 1000 North, Roosevelt, UT 84066 | 2013-03-22 |
| 1508110040 | Uintah Basin Spine and Disc Center, PC | Rehabilitation Unit | 1151 East Highway 40, Roosevelt, UT 84066 | 2012-11-06 |
| 1184918682 | Alvaro Beltran | Dentist | Ave. Lopez Mateos 171-4, Nogales, SONORA 84066 | 2011-06-02 |
| 1255638367 | Cosme Cantu | Dentist | Blvd. El Greco #45 Int. J-14, Nogales, SONORA 84066 | 2011-02-25 |
| 1740482009 | Northeastern Utah Medical Group | Durable Medical Equipment & Medical Supplies | 210 W 300 N 75 3, Roosevelt, UT 84066 | 2007-05-31 |
| Find all providers in zip 84066 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235679903 | Vivien Mott | Social Worker | 1 Wagner Ave, Roosevelt, NY 11575-1528 | 2017-03-01 |
| 1801144746 | Jacob Auna | Social Worker | 4270 W 5625 N, Roosevelt, UT 84066-4824 | 2012-08-27 |
| 1720297997 | Naomi Brahinsky | Social Worker | 1 Clarksburg Road., Roosevelt, NJ 08555 | 2007-05-22 |
| 1003948357 | Robin Axel | Social Worker | 30 Farm Ln., Roosevelt, NJ 08555-0507 | 2007-03-12 |
| 1003999277 | Theresa J Ingram | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2006-10-23 |
| 1083231203 | Lara Kravet | Social Worker | 4270 W 5625 N, Roosevelt, UT 84066-4824 | 2020-07-03 |
| 1467077750 | Makana Leadership Academy | Social Worker | 4270 W 5625 N, Roosevelt, UT 84066-4824 | 2020-06-11 |
| 1457983819 | Chet David Stevens | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2020-02-04 |
| 1639728397 | Sophia A James | Social Worker | 251 Lincoln Ave, Roosevelt, NY 11575-1840 | 2019-09-05 |
| 1013304013 | Katherine F Cooke | Social Worker | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2015-04-17 |
| Find all providers in ROOSEVELT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.