CHERYL KELSTROM-SMITH LCSW, LLC (NPI# 1417235284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417235284 |
| Entity Type | Organization |
| Organization Name | CHERYL KELSTROM-SMITH LCSW, LLC |
| Practice Address |
5149 S 1500 W Riverdale UT 84405-3926 |
| Mailing Address |
Po Box 213 Roy UT 84067-0213 |
| Practice Telephone | 8014750402 |
| Practice Fax Number | 8014757464 |
| Mailing Telephone | 8014750402 |
| Mailing Fax Number | 8014757464 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-08-12 |
| Authorized Official Name | MS. CHERYL KELSTROM-SMITH (PROVIDER/OWNER) |
| Authorized Official Telephone | 8014750402 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4730671-3501 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BIRTHDAY | 12/19/1949 | 01 |
| UT | DOG | SKYLER | 01 |
| Street Address |
5149 S 1500 W |
| City | RIVERDALE |
| State | UT |
| Zip Code | 84405-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882172 | B. Shane Harmon | Social Worker | 5149 S 1500 W, Riverdale, UT 84405-3926 | 2005-06-21 |
| 1669726741 | Angie Berry | Marriage & Family Therapist | 5149 S 1500 W, Riverdale, UT 84405-3926 | 2012-10-29 |
| 1487933909 | Taylor Cameron Herrin | Marriage & Family Therapist | 5149 S 1500 W, Riverdale, UT 84405-3926 | 2011-08-15 |
| 1326326273 | B. Shane Harmon Lcsw, LLC | Social Worker | 5149 S 1500 W, Riverdale, UT 84405-3926 | 2011-07-26 |
| 1740335850 | Cheryl Kelstrom Smith | Counselor | 5149 S 1500 W, Riverdale, UT 84405 | 2007-01-25 |
| 1053466169 | Theresa Stueland Kay | Psychologist | 5149 S 1500 W, Riverdale, UT 84405 | 2007-01-25 |
| 1710068473 | Blake Thomas Halliday | Marriage & Family Therapist | 5149 S 1500 W, Riverdale, UT 84405-3926 | 2006-10-18 |
| 1760588818 | Lee Legrand Perry | Social Worker | 5149 S 1500 W, Riverdale, UT 84405-3926 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| 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 |
|---|---|---|---|---|
| 1710596804 | Shaniqua Miles | Social Worker | 13934 S State St, Riverdale, IL 60827-2018 | 2020-07-24 |
| 1770104291 | Hope 4 You, LLC | Social Worker | 6801 Kenilworth Ave Ste 203, Riverdale, MD 20737-1331 | 2020-05-06 |
| 1467915975 | Jack Raymond Schwartz | Social Worker | 85 Newark Pompton Tpke, Riverdale, NJ 07457-1448 | 2019-04-11 |
| 1346721347 | Christel Joel Tajouoh Daghuie | Social Worker | 6353 64th Ave Apt B2, Riverdale, MD 20737-1501 | 2018-08-27 |
| 1033641584 | Kindra Battles | Social Worker | 8666 Thomas Rd, Riverdale, GA 30274-5193 | 2017-04-03 |
| 1093251464 | Sorena Lynn Sweatt | Social Worker | 6811 Kenilworth Ave Ste 500, Riverdale, MD 20737-1318 | 2017-01-10 |
| 1770037335 | Gisela Martinez | Social Worker | 6220 Carters Ln, Riverdale, MD 20737-3222 | 2016-08-11 |
| 1770969479 | Tawana Bryant | Social Worker | 1712 Wynthrope Pl, Riverdale, GA 30274-5154 | 2015-08-04 |
| 1346505377 | Shaylynn Lambert | Social Worker | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2012-07-05 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in RIVERDALE | ||||
Please comment or provide details below to improve the information on CHERYL KELSTROM-SMITH LCSW, LLC.
| 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.