MR. KIRT DON WISE (NPI# 1215182795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215182795 |
| Entity Type | Individual |
| Full Name | MR. KIRT DON WISE |
| Credential | LCSW |
| Practice Address |
387 E 450 S Clearfield UT 84015-1734 |
| Mailing Address |
501 W 2600 S Ste 200 Bountiful UT 84010-7784 |
| Practice Telephone | 8016355022 |
| Practice Fax Number | 8017739152 |
| Mailing Telephone | 8018153443 |
| Mailing Fax Number | 8017764162 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5666130-3501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
387 E 450 S |
| City | CLEARFIELD |
| State | UT |
| Zip Code | 84015-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477819 | Jaimee C Henley | Community Health Worker | 387 E 450 S, Clearfield, UT 84015-1734 | 2020-11-04 |
| 1235748948 | Chris Faaumu | Community Health Worker | 387 E 450 S, Clearfield, UT 84015-1734 | 2020-07-28 |
| 1376013169 | Christopher Leif Chakrampilly Thomas | Community Health Worker | 387 E 450 S, Clearfield, UT 84015-1734 | 2018-12-05 |
| 1104300474 | Alema Tavita Key | Community Health Worker | 387 E 450 S, Clearfield, UT 84015-1734 | 2018-09-21 |
| 1053894634 | Jordan Laumatia | Community Health Worker | 387 E 450 S, Clearfield, UT 84015-1734 | 2018-09-10 |
| 1043708035 | Zach Lindsay | Community Health Worker | 387 E 450 S, Clearfield, UT 84015-1734 | 2018-04-25 |
| 1538670567 | Dilan Oliver | Community Health Worker | 387 E 450 S, Clearfield, UT 84015-1734 | 2017-10-17 |
| 1639695414 | Ryan J Molgard | Counselor | 387 E 450 S, Clearfield, UT 84015-1734 | 2017-08-14 |
| 1922523992 | Sheldon Pierce | Community Health Worker | 387 E 450 S, Clearfield, UT 84015-1734 | 2017-08-10 |
| 1598280554 | Maryanne Amanda Johnson | Counselor | 387 E 450 S, Clearfield, UT 84015-1734 | 2017-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1619459104 | Jaime W Jones | Registered Nurse | 412 North 4950 West, West Point, UT 84015 | 2018-08-31 |
| 1295272557 | Wendy Fleming | Registered Nurse | 22 So. State Street, Davis County Health Dept, Clearfield, UT 84015 | 2017-01-25 |
| 1871041707 | Megan Claire Mannen | Optometrist | 1448 N 2000 W Ste 3, Clinton, UT 84015 | 2016-09-20 |
| 1093118291 | April Riney | Counselor | 189 S State St Ste 235b, Clearfield, UT 84015 | 2014-10-01 |
| 1457779381 | Katherine Olsen | Registered Nurse | 22 S. State St., Clearfield, UT 84015 | 2014-03-28 |
| 1336560218 | Lauren April Call | Registered Nurse | 22 S. State St, Clearfield, UT 84015 | 2013-12-19 |
| 1568803377 | John Gaspare Rino | Physical Therapist | 29 C St, Clearfield, UT 84015 | 2013-07-09 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1639441264 | Kim I Beus | Nurse Practitioner | 383 E 1900 S, Clearfield, UT 84015 | 2012-01-27 |
| Find all providers in zip 84015 | ||||
| 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 |
|---|---|---|---|---|
| 1346713385 | Lucy P Yergensen | Social Worker | 189 S State St Ste 250, Clearfield, UT 84015-1100 | 2019-01-02 |
| 1578059796 | Martha Ann Howard | Social Worker | 2255 Mcbrayer Rd, Clearfield, KY 40313-9600 | 2018-07-11 |
| 1396121414 | Carol Thornhill | Social Worker | 370 S 500 E Ste 160, Clearfield, UT 84015-4027 | 2015-07-31 |
| 1720470750 | Clint Thurgood | Social Worker | 180 E 2325 S, Clearfield, UT 84015-2061 | 2015-02-27 |
| 1235481136 | Colleen Michelle Helms | Social Worker | 1785 E 1450 S, Clearfield, UT 84015-2293 | 2012-10-03 |
| 1760788491 | Heather D Potokar | Social Worker | 189 S State St Ste 230, Clearfield, UT 84015-1001 | 2011-01-27 |
| 1417265968 | Laura Bridget Ruth | Social Worker | 904 S State St, Clearfield, UT 84015-1815 | 2010-09-17 |
| 1205155926 | Joel Campbell | Social Worker | 466 N Main St Ste 210, Clearfield, UT 84015-3243 | 2010-05-19 |
| 1245556158 | Brian J Garlock | Social Worker | 370 S 500 E Ste 135, Clearfield, UT 84015-4001 | 2010-04-16 |
| 1013233345 | Jeffrey Scott Moore | Social Worker | 430 E 450 S, Clearfield, UT 84015-1736 | 2010-04-12 |
| Find all providers in CLEARFIELD | ||||
| City | CLEARFIELD |
| Zip Code | 84015 |
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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.