LIVE WELL COUNSELING SERVICES PLLC (NPI# 1366079097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366079097 |
| Entity Type | Organization |
| Organization Name | LIVE WELL COUNSELING SERVICES PLLC |
| Practice Address |
3654 W 9800 S South Jordan UT 84009-3260 |
| Practice Telephone | 8018968133 |
| Mailing Telephone | 8018968133 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | JACOB VICKERY (OWNER LCSW) |
| Authorized Official Telephone | 8018968133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
3654 W 9800 S |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84009-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347061 | Pony Express Dental Daybreak, LLC | Clinic/Center | 5396 W Daybreak Parkway, South Jordan, UT 84009 | 2017-06-30 |
| 1831630763 | Tina Patel | Dentist | 11501 S 4000 W Ste 101, South Jordan, UT 84009 | 2017-03-10 |
| 1811396260 | Out of This World Dentistry Sj PC | Dentist | 10426 S. 4000 W., South Jordan, UT 84009 | 2014-08-21 |
| 1184970956 | Robert Owyn Lindquist IIi | Social Worker | 10609 S. Granby Way, South Jordan, UT 84009 | 2012-07-31 |
| 1013138254 | Kelly Kristen Adams | Pediatrics | 4686 W Crosswater Road, South Jordon, UT 84009 | 2007-05-02 |
| 1760081061 | Someone To Talk To | Psychologist | 10352 S Sturgeon Dr, South Jordan, UT 84009-1218 | 2020-10-19 |
| 1699317685 | Daybreak Pdc Pllc | Dentist | 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 | 2019-10-11 |
| 1518414911 | Charli Danielle Peters | Nurse Practitioner | 9636 S Skye Park Rd, South Jordan, UT 84009-1506 | 2016-09-02 |
| 1760933832 | Naomi Mackert | Massage Therapist | 4988 W Wood Ranch Dr, South Jordan, UT 84009-1532 | 2016-10-24 |
| 1396285425 | Preston Howard Catmull | Physical Therapist | 9988 S Hook Dr, South Jordan, UT 84009-2786 | 2017-03-08 |
| Find all providers in zip 84009 | ||||
| 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 |
|---|---|---|---|---|
| 1366066227 | Julie Jenee Miller | Social Worker | 873 W Baxter Dr, South Jordan, UT 84095-8506 | 2020-06-05 |
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1720614258 | Karen Pendleton | Social Worker | 1206 W S Jordan Pkwy, South Jordan, UT 84095-5511 | 2020-03-16 |
| 1922669274 | Lora Elizabeth Bonham | Social Worker | 2776 W Lizzi Cv, South Jordan, UT 84095-7961 | 2019-06-27 |
| 1356823249 | Payton Joy Pola | Social Worker | 1108 W S Jordan Pkwy Ste B, South Jordan, UT 84095-5505 | 2018-09-06 |
| 1700398237 | Amanda Gray | Social Worker | 1204 W South Jordan Pkwy Ste B, South Jordan, UT 84095-4612 | 2017-10-24 |
| 1740732916 | Hannah Weingarten | Social Worker | 10486 S Sage Vista Way, South Jordan, UT 84009-3955 | 2016-11-03 |
| 1093260556 | Heather Shelline | Social Worker | 9550 S Kilmuir Cir, South Jordan, UT 84009-9704 | 2016-08-24 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1700242450 | Viridiana Zendejas | Social Worker | 1108 W South Jordan Pkwy, Suite C, South Jordan, UT 84095-5504 | 2016-01-11 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84009 |
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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.