MS. CHERYL KELSTROM SMITH (NPI# 1740335850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740335850 |
| Entity Type | Individual |
| Full Name | MS. CHERYL KELSTROM SMITH |
| Other Name | MS. CHERYL KELSTROM |
| Credential | LCSW |
| Practice Address |
5149 S 1500 W Riverdale UT 84405 |
| 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 | 2007-01-25 |
| Last Update Date | 2011-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
47306713501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
5149 S 1500 W |
| City | RIVERDALE |
| State | UT |
| Zip Code | 84405 |
| 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 |
| 1417235284 | Cheryl Kelstrom-smith Lcsw, LLC | Social Worker | 5149 S 1500 W, Riverdale, UT 84405-3926 | 2011-07-28 |
| 1326326273 | B. Shane Harmon Lcsw, LLC | Social Worker | 5149 S 1500 W, Riverdale, UT 84405-3926 | 2011-07-26 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345221 | Tairon Tucker | Counselor | 305 Brookview Dr, Riverdale, GA 30274-7205 | 2020-08-04 |
| 1144864513 | Moving Towards The Future, Inc | Counselor | 13913 S State St, Riverdale, IL 60827-2019 | 2019-10-29 |
| 1205304177 | Nzinga Lawrence | Counselor | 4404 Queensbury Rd # 215&210, Riverdale, MD 20737-1068 | 2018-11-08 |
| 1881169498 | Baiden & Associates LLC | Counselor | 4642 Woodberry St, Riverdale, MD 20737-1066 | 2018-10-10 |
| 1164905311 | Jennifer Hart | Counselor | 6221 67th Ct, Riverdale, MD 20737-1731 | 2018-09-13 |
| 1376056598 | Guiding Light Therapeutic Services | Counselor | 4404 Queensbury Rd Ste 105, Riverdale, MD 20737-1074 | 2017-11-09 |
| 1770092876 | Compassionate Care | Counselor | 8050 Taylor Rd Apt 2305, Riverdale, GA 30274-7101 | 2017-09-21 |
| 1922466093 | Gisell Mejia | Counselor | 6245 Johnson Rd, Riverdale, GA 30274-1806 | 2016-02-04 |
| 1790141877 | Tangela Morris | Counselor | 375 Ridge Trl, Riverdale, GA 30274-1953 | 2016-01-05 |
| 1669806840 | Darsha Darlene Clark | Counselor | 8026 Mustang Ln, Riverdale, GA 30274-6749 | 2013-08-24 |
| Find all providers in RIVERDALE | ||||
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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.