BROOKE JANELLE AUTREY (NPI# 1710504162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710504162 |
| Entity Type | Individual |
| Full Name | BROOKE JANELLE AUTREY |
| Credential | CSW |
| Practice Address |
344 E 100 S Ste 301 Salt Lake City UT 84111-1727 |
| Practice Telephone | 8014284257 |
| Mailing Telephone | 8014284257 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
UT | Behavioral Health & Social Service Providers |
| Street Address |
344 E 100 S STE 301 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649451642 | Eric John Schmidt | Social Worker | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2007-11-18 |
| 1992311906 | Chris Aaron Johns | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-09-16 |
| 1366057770 | Jacqualine Long | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-09-11 |
| 1992316699 | Michael Dandin | Counselor | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-14 |
| 1265043954 | Soana Talau Kelepi | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-14 |
| 1528678166 | Lori Frances Ili | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-07 |
| 1558971234 | Cristie Anderson | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-08-06 |
| 1629687884 | Kinley Ashton Millett | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-07-23 |
| 1225646565 | Denise Lee Tolbert | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-07-22 |
| 1437767068 | Tammy Checketts | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2020-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
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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.