MRS. MIRANDA DIANE WILCOCK


Address: 500 Foothill Dr, Salt Lake City, UT 84148-0001
Phone: 8015821565

MRS. MIRANDA DIANE WILCOCK (NPI# 1356996474) 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) 1356996474
Entity Type Individual
Full Name MRS. MIRANDA DIANE WILCOCK
Other Name MISS MIRANDA DIANE GRIGG
Practice Address 500 Foothill Dr
Salt Lake City
UT 84148-0001
Mailing Address 423 E 5600 S Apt 9
Murray
UT 84107-6281
Practice Telephone 8015821565
Mailing Telephone 8019791733
Enumeration Date 2019-08-06
Last Update Date 2019-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 500 FOOTHILL DR
City SALT LAKE CITY
State UT
Zip Code 84148-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700889011 Anthony W Middleton Jr. Specialist 500 Foothill Dr, Surgery (urology), Salt Lake City, UT 84148-0001 2005-05-31
1376150953 Annette Sprankle Pharmacist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-28
1912512559 Taylor Nicole Schweitzer Speech-Language Pathologist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-10
1134733421 Cord Speck Nurse Practitioner 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-03
1023621232 Thomas Alan Good Lance White Bull Pharmacy Technician 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-26
1376155606 Cassie Dance Psychologist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-18
1255943734 Julia Ann Packard Registered Nurse 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-17
1558972729 Kathleen Sarette Nurse Practitioner 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-12
1154931723 Peter Jerome Torcivia Student in an Organized Health Care Education/Training Program 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-07
1184234262 Rebecca E Montgomery Student in an Organized Health Care Education/Training Program 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598211799 Jacquelyn Rae Contant Dietitian, Registered 500 Foothill Dr. (120), Salt Lake City, UT 84148 2016-08-28
1699127811 Taylor Alford Pharmacist 500 Foothills Drive, Salt Lake City, UT 84148 2016-07-12
1356792162 Sarah Hummel Genetic Counselor, MS 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 2016-06-23
1174936140 Elizabeth Shade Cardenas Nurse Practitioner 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 2014-06-08
1386904043 David Earl Moore Specialist 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 2012-05-29
1790059038 Deborah Ernstein Holley Hartzfeld Genetic Counselor, MS 615 Arapeen Drive #212, Salt Lake City, UT 84148 2012-03-05
1073823720 Diana Lynn Robbins Social Worker 9140 W. Post Road, Las Vegas, NV 84148 2010-10-15
1659534394 Katherine Margaret Dunn Genetic Counselor, MS 500 Foothill Drive (151z), Salt Lake City, UT 84148 2008-07-02
1730381625 Douglas James Ball Medical Genetics Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 2007-06-03
1245339530 Daniel H Priestly Radiology 500 Foothill Dr., Salt Lake City, UT 84148 2006-09-22
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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
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Competitor

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City SALT LAKE CITY
Zip Code 84148

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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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