DR. KELLY CARL FELLER (NPI# 1134417132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134417132 |
Entity Type | Individual |
Full Name | DR. KELLY CARL FELLER |
Credential | PHD, LCSW |
Practice Address |
537 W 2600 S Suite 203 Bountiful UT 84010-7779 |
Mailing Address |
1048 E Fairway Dr North Salt Lake UT 84054-3056 |
Practice Telephone | 8018091049 |
Mailing Telephone | 8018091049 |
Enumeration Date | 2011-07-12 |
Last Update Date | 2011-07-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
7057775-3501 | UT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639577786 | Kelly E Feller | Dietitian, Registered | 1640 E Sumner St, Hartford, WI 53027-2684 | 2014-12-05 |
Street Address |
537 W 2600 S SUITE 203 |
City | BOUNTIFUL |
State | UT |
Zip Code | 84010-7779 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861896813 | Rebecca Feller | Nurse Practitioner | 537 W 2600 S, #203, Bountiful, UT 84010-7779 | 2014-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
Find all providers in zip 84010 |
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 |
---|---|---|---|---|
1811505357 | Karen Coulam, Msw, Lcsw, Counseling Services | Social Worker | 96 N 500 W, Bountiful, UT 84010-7078 | 2020-07-21 |
1073091492 | Suzanna Cressall | Social Worker | 880 S 650 E, Bountiful, UT 84010-3811 | 2018-07-30 |
1194218271 | Jamie Leigh Schipaanboord | Social Worker | 620 Medical Dr Ste 100, Bountiful, UT 84010-5175 | 2018-06-12 |
1285141424 | Kellie Yeates | Social Worker | 1236 E 2050 S, Bountiful, UT 84010-2234 | 2018-01-09 |
1851785919 | Independence Physician and Resource | Social Worker | 640 S 500 W, Bountiful, UT 84010-7210 | 2015-03-26 |
1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
1295177038 | Feller Behavioral Health Services | Social Worker | 537 W 2600 S Ste 203, Bountiful, UT 84010-7780 | 2013-07-22 |
1588927966 | Newel Ivan Nelson | Social Worker | 3565 Lexington Dr, Bountiful, UT 84010-5803 | 2012-06-20 |
1750673091 | Agueda Skinner | Social Worker | 1927 S 1150 E, Bountiful, UT 84010-2263 | 2011-05-04 |
1326352469 | Jonathan Collins Taylor | Social Worker | 1325 N Main St Ste 3, Bountiful, UT 84010-6090 | 2010-07-30 |
Find all providers in BOUNTIFUL |
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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.