MR. TOBIAS ALLEN WILDE SR. (NPI# 1770866485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770866485 |
Entity Type | Individual |
Full Name | MR. TOBIAS ALLEN WILDE SR. |
Practice Address |
7601 S Redwood Rd Bldg E West Jordan UT 84084-4007 |
Mailing Address |
414 Woodlake Ln Apt 146 Salt Lake City UT 84107-1654 |
Practice Telephone | 8012338670 |
Mailing Telephone | 8015488535 |
Enumeration Date | 2011-09-20 |
Last Update Date | 2011-09-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
Street Address |
7601 S REDWOOD RD BLDG E |
City | WEST JORDAN |
State | UT |
Zip Code | 84084-4007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780972836 | Karan Kay Barnes | Social Worker | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2011-07-11 |
1811501489 | Jonathan Ramirez | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-09-01 |
1376168427 | Drew Ray Conder | Case Management | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-06-15 |
1932724234 | Zoe Annette Stucky | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-06-11 |
1750906053 | Gina Leorne Gerback | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-06-11 |
1053954628 | Jared Barker | Social Worker | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2019-10-25 |
1174089007 | Kenneth Scott Sorensen | Social Worker | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2019-02-15 |
1780168781 | Seth Ronald Duncan | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-09-17 |
1356825350 | Robert Bixler | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-09-17 |
1194209197 | Angie Jolley | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
Find all providers in zip 84084 |
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 |
---|---|---|---|---|
1265073357 | Cassi Davis | Social Worker | 7513 S Village Dell Dr, West Jordan, UT 84081-3634 | 2019-10-01 |
1336705292 | Life Launch Centers of South Salt Lake | Social Worker | 9289 S Redwood Rd Ste C, West Jordan, UT 84088-6731 | 2019-05-16 |
1205379732 | Tania Marambio | Social Worker | 7625 S 3200 W Ste 2&4, West Jordan, UT 84084-2800 | 2016-12-01 |
1992257406 | Sunny Mae Nelson | Social Worker | 5009 W Edinburgh Ln, West Jordan, UT 84081-5918 | 2016-11-01 |
1457716185 | Theresa Limberg | Social Worker | 3708 Westland Dr, West Jordan, UT 84088-5072 | 2015-12-23 |
1235531641 | Diana Elaine Ballard | Social Worker | 1368 W Green Hedge Way, West Jordan, UT 84084-4140 | 2014-09-17 |
1861815540 | Jennifer Cornett | Social Worker | 7533 S Center View Ct, St 100, West Jordan, UT 84084-5526 | 2014-01-30 |
1780007641 | Deborah Harris | Social Worker | 8151 S 5940 W, West Jordan, UT 84081 | 2014-01-29 |
1417379934 | Christine Adams Richards | Social Worker | 8537 S Redwood Rd, Suite A, West Jordan, UT 84088-5713 | 2014-01-17 |
1316385750 | Honeybee Counseling and Wellness Center | Social Worker | 9255 S Redwood Rd, Building 6 Suite A&b, West Jordan, UT 84088-5818 | 2013-06-07 |
Find all providers in WEST JORDAN |
City | WEST JORDAN |
Zip Code | 84084 |
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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.