CELISA PACKER


Address: 2020 E Lake St, Salt Lake City, UT 84105
Phone: 8014877778

CELISA PACKER (NPI# 1083089643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083089643
Entity Type Individual
Full Name CELISA PACKER
Practice Address 2020 E Lake St
Salt Lake City
UT 84105
Mailing Address 1760 W 4805 S
Taylorsville
UT 84129-1177
Practice Telephone 8014877778
Enumeration Date 2015-12-08
Last Update Date 2015-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
9046926-3502 UT Behavioral Health & Social Service Providers
N 1041S0200X Social Worker
Specialization: School
689820 UT Behavioral Health & Social Service Providers

Office Location

Street Address 2020 E LAKE ST
City SALT LAKE CITY
State UT
Zip Code 84105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285106237 Laiyan H Bawadeen Counselor 1425 700 E Suite #102, Salt Lake City, UT 84105 2018-12-31
1639644255 Claire Elizabeth Gray Marriage & Family Therapist 1425 700 East, Salt Lake City, UT 84105 2018-10-10
1083052963 Christina Elizabeth Burton Nurse Practitioner 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 2013-06-12
1649548355 Leland Burt Cowan Surgery 1405 Princeton Ave, Salt Lake City, UT 84105 2011-12-08
1639460355 Sally Cathleen Webster Counselor 1248 Yale Avenue, Salt Lake City, UT 84105 2011-04-28
1912205105 Melissa Wilson Case Manager/Care Coordinator 1522 S 1100 E, Salt Lake City, UT 84105 2011-03-11
1013215789 Tamara Marie Wright Counselor 1996 Lake St, Salt Lake City, UT 84105 2011-03-04
1144527243 Crystal Nicole Garduno Counselor 1522 South 1100 East, Salt Lake City, UT 84105 2011-02-25
1508011180 Keith Elliott Anesthesiology 1552 South 1000 East, Salt Lake City, UT 84105 2008-11-24
1902084411 Lilly Landikusic Marriage & Family Therapist 749 East Logan Avenue, Salt Lake City, UT 84105 2008-02-06
Find all providers in zip 84105

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922606763 Eric Jeffrey Hales Social Worker 352 S Denver St Ste 350, Salt Lake City, UT 84111-3059 2020-10-14
1700490067 Open Arms Youth and Adult Services Social Worker 3007 S West Temple Ste J, Salt Lake City, UT 84115-6701 2020-09-03
1275147019 Libby Rae Hughes Social Worker 1170 S Foothill Dr Apt 323, Salt Lake City, UT 84108-1955 2020-08-31
1881206910 Christine Madden Social Worker 699 E South Temple Ste 300a, Salt Lake City, UT 84102-1188 2020-08-19
1003428566 Laura Marie Baumgart Social Worker 1390 S 1100 E Ste 204, Salt Lake City, UT 84105-2463 2020-08-17
1851901193 Angelique Colemere Social Worker 1399 S 700 E Ste 16, Salt Lake City, UT 84105-2170 2020-08-02
1871102095 Aimee Hadfield Social Worker Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 2020-07-23
1619586856 Layne Gerry Daybell Social Worker 136 E South Temple, Salt Lake City, UT 84111-1180 2020-07-23
1043829328 Christopher Wesley Pace Social Worker 2000 Circle of Hope Dr Rm 2840, Salt Lake City, UT 84112-5550 2020-07-23
1962028795 Amy Lynn Horyna Social Worker 1950 Circle of Hope Dr Rm 2935, Salt Lake City, UT 84112-5500 2020-06-17
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84105

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Dataset Information

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.

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